Our experience with laparoscopic treatment of varicocele

Purpose: The purpose of the study was to evaluate the results of the laparoscopic treatment of varicocele utilizing the Palomo technique. Methods: 66 patients aged 12 to 21 years (median 15 years) with a left, grade II or grade III varicocele underwent laparoscopic ligation of the spermatic artery and vein. The mean duration of postoperative follow-up was 14 months (2-24 months). Results: Average operating time was 31 minutes (range 21-45 minutes). There were no intraoperative complications. On follow-up, all patients were asymptomatic with no signs of varicocele. There were no occurrences of postoperative testicular atrophy or hypotrophy. Postoperative hydrocele was noted in one patient. Average hospitalization was about 36 hours. Conclusion: Laparoscopic ligation is a safe and effective method for varicocele treatment in children and adolescents. Advantages over open surgery include shorter operating time, shorter hospitalization and the patients’ faster return to full activity.