We performed laparoscopic varicocele ligation in 24 patients [4 bilaterally] whether clinically evident or detected by doppler. The main indication for surgery was oligo/athenospermia  .
indications were failure of the medical test for joining military service  , testicular atrophy  and scrotal pain  . The procedure is of real advantage in bilateral ligation [4 cases] . No morbidity recorded apart from one patient who developed pneumoscrotum which was brought to minimum during the procedure by scrotal compression and disappeared completely within one day. The spermatic artery was identified and preserved in 22 patients and clipped with the spermatic vein in 2 patients with no subsequent morbidity. The mean post-operative hospital stay was 1.9 days [range 1-3 days] and the mean time needed to return to full activity and work was 4.2 days [range 3-6 days] . Preliminary follow-up showed disappearance of varicocele as evidenced clinically and by doppler study, in all patients within 3 months. The wife of one patient treated for infertility conceived and the rest of the patients treated for oligo/athenospermia showed marked improvement. Pain disappeared in those treated for this symptom. We found the procedure safe, effective and offer the potential to diminish post-operative morbidity
Hany Hefny ,
New Egypt. J. Med. 1992;
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