Laparoscopic Varicocelectomy

Abstract

The effect of testicular varricocele; and hence the effective results of its ablation, varies according to the original seminogram, Whether the [ original picture of the seminogram is the results of only the varicocele or in combination with other, yet, unknown factors is not clear, or it could tr be due to the duration which the physician is never sure of what is more puzzling is that some men have varicocele and yet have normal seminogram, and effect normal pregnancy. It has been proved that the presence of varicocele on one side· affects the function on the other side and this is possibly due to the presence of collateral veins which can not be seen or detected by the traditional operations. A significant relattionship between the preopertive testicular volume and sperm density in varicocele patients has been found in this series. The higher the decrease in preoperative sperm denisty, the higher the loss of testicular volume. d.. Laparoscopic varicocelectomy undoubtedly having the advantage of detecting the collaterals and clipping them. This certainly explains the overall better results of laparoscopic varicocelectmy.