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Laparoscopic Techniques for Varicocele Repair

  • Roberto Mendez-GallartEmail author
  • Maria Garcia-Palacios
Chapter

Abstract

Varicocele is a relatively common disorder in children and adolescents that can impair spermatogenesis and may result in infertility. The incidence increases progressively from the age of 10 years and can be detected in at least 15% of all adolescent males. Varicocele is the most common correctable etiology found in adult men with infertility. The condition can often lead to testicular atrophy in prepubertal patients. Surgery is recommended in well-defined cases. The goal of all surgical methods of treating varicocele in children and adolescents is to improve the potential for future fertility. Success with diverse surgical procedures such as the Palomo retroperitoneal approach, Ivanissevich inguinal surgery, and the more recent antegrade sclerotherapy, retrograde embolization, microsurgical inguinal, and retroperitoneoscopic and laparoscopic procedures has been reported. Since the first description in 1988, the laparoscopic varicocele ligation procedure has become the most popular surgical method for treating this condition in children and adolescents; nevertheless, its application to adult patients is still controversial. The most frequent complication reported with the laparoscopic approach is the high rate of postoperative hydrocele, but this problem may be reduced with a dye-assisted spare of the lymphatics.

Keywords

Varicocele Surgical repair Laparoscopy Male infertility Palomo procedure 

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Pediatric Surgery & Urology, University Hospital of SantiagoSantiago de CompostelaSpain
  2. 2.Pediatric Surgery & Urology, University Hospital of SantiagoSantiagoSpain

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