Background: varicoceles are one of the most commonly identified scrotal diseases. their prevalence in the normal adult male population is 15-20% &they are thought to be the most common treatable cause of male factor infertility. a variety of surgical & non-surgical approaches have been advocated for varicocelectomy. objective: to make a follow-up for the results of laparoscopic varicocelectomy after 3 & 6 months. Patients and methods: a total of twenty male patients, presented with history of primary infertility or pain or both and have varicocele (30% left-sided & 70% bilateral), were included in the study. laparoscopic varicocelectomy was done between march 2016 and december 2017.we made a follow-up after 3 & 6 months by clinical examination, semen analysis & colored-doppler ultrasonography. Results: mean operation time was 40 min. (range 22-58 min.). the hospital stay was one day for all patients. return to normal activities was from 2-3 days. 25% of patients have postoperative scrotal emphysema. 20% of patients had recurrence & 10% had hydrocele. there was no postoperative testicular atrophy in any of the patients. during the follow-up period (6 months), there was improvement in the seminal fluid parameters in 85% of patients. Conclusion: although sooner return to work, less postoperative pain, more accessibility to both sides from small incisions are achieved by laparoscopic varicocelectomy, recurrence & hydrocele are more frequent than with the open method.
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