Mohamed Mahmoud Shalaby
MD, pediatric surgery unit, Faculty of Medicine, Tanta University.
Title: Laparoscopic Testicular Artery Saving Varicocelectomy: IS it safe for Adolescent Varicocele?
Biography
Biography: Mohamed Mahmoud Shalaby
Abstract
Background: Varicocele is generally considered the most common correctable cause of male infertility. Testicular disproportion is considered to be the most important sign of testicular damage in absence of the possibility to do routine semen analysis in adolescent.
Aim: The aim of our work is to evaluate feasibility, recurrence rate and postoperative complications of laparoscopic varicocelectomy with preservation of the testicular artery in adolescents.
Patient and methods: Our prospective clinical study was done between May 2016 and May 2017 at pediatric surgery unit, General Surgery Department, Tanta University Hospital. The study included twenty patients presented with symptomatic varicocele. Then, laparoscopic varicocelectomy with preservation of the testicular artery were done for all cases. Operation time, the success rate, the incidence of complications, the length of the hospital stay, conversion and data of follow up were recorded.
Results : Total Operation time ranged between 10 and 40 minutes. There were testicular catch up growth in 5 cases and we had no testicular atrophy in the other cases Recurrence occurred in 2 cases in the period of follow up (6 months).