Treatment of Varicocele: A Prospective Randomized Comparison of Laparoscopy Versus Antegrade Sclerotherapy

Treatment of varicocele with reference to age: a retrospective comparison of three minimally invasive procedures

“…In a high-volume laparoscopic center, the cost attributable to laparoscopic equipment is low in the long run because the equipment is used for the whole spectrum of diagnostic, ablative, and reconstructive laparoscopic procedures in pediatric and adult urology every day. A correlation between varicocele size and treatment outcome was reported in the study by Sautter et al [22]. Our data confirm these findings, because altogether, there were more treatment failures among patients with grade 3 varicoceles.…”

“…The latter include scrotal hematoma and epididymorchitis, whereas serious complications such as ipsilateral testicular atrophy are rare (0.6%). In the only existing randomized prospective trial comparing AS and LV in the management of varicocele, both procedures were equally effective, but AS was shown to be more cost effective and associated with fewer complications than LV [22].…”

“…Damage to the genitofemoral nerve during LV has been reported in the literature in 2.3% to 4.8% of cases [4]. The costs for LV are reported to be higher than for AS [22].…”

“…In the search for less traumatic treatment approaches, minimally invasive techniques such as laparoscopic varicocelectomy (LV), antegrade sclerotherapy (AS), and retrograde embolization (RE) were developed and have gained popularity during the last decade. A number of reports on these techniques used to treat series of pediatric or adult patients with varicoceles are available in the literature [1,7,12,19,21,22,25]. However, to our knowledge, no published study has evaluated the efficacy and complications of several minimally invasive procedures and their outcomes comparing the findings for children and adolescents with those for adults treated in the same institution.…”

Résultats hémodynamiques et cliniques de la dissection, assistée par lunettes chirurgicales, des veines spermatiques au niveau de l’orifice inguinal interne

“…Elle est compliqu6e par une persistance de la varicoc~le dans environ 9 % des cas [4,6], et la fr6quentc apparition d' un hydrocble secondaire ~ la section des vaisseaux lymphatiques [6]. La chirurgie laparoscopique donne de bons r6sultats sur le plan esth6tique, mais elle est associ6 d'une part h une incidence d'environ 17 % de r6cidives de la varicoc~le, d'autre part la survenue d'une hydrocble dans 14 h 24 % des cas [13,16]. Les susdites interventions peuvent souvent causer la section accidentelle de l'art~re spermatique, et cet 6v6ne-ment en g6n6ral n'endommage pas le testicule, mais ne d6termine quand m~me pas des avantages au regard de la qualit6 du sperme [15].…”