[Laparoscopic and microsurgical varicocelectomy: comparison of the results].

ABSTRACT

Laparoscopic and microsurgical varicocelectomy were compared by clinical and cost efficacy results. Microsurgical subinguinal varicocelectomy was performed in 129 patients, laparoscopic - 167 patients. Median of the patients' age was 27 years (16-38 years). Median of follow-up in microsurgical operation was 26 months (13-60 months), in laparoscopic method - 62 months (28-71 months). By clinical criteria (time of surgical intervention, amount of analgetic drugs in the postoperative period, stay in hospital, rate of varicocele recurrence and postoperative complications), the results of microsurgical varicocelectomy proved significantly better than those of laparoscopic operations. The rate of all complications after microsurgical ligation of the testicular veins was 8 times less than after laparoscopic intervention, the rate of varicocele recurrence - 2.4 times less. Microsurgical operations were financially more effective (by 20%) than laparoscopic varicocelectomy. Thus, microsurgical varicocelectomy is more effective than laparoscopic one both clinically and financially.