Results of varicocele treatment with laparoscopic Palomo technique in children and adolescents in years 2002-2012.

INTRODUCTION

Varicocele is caused by enlargement of internal testicular veins, including the pampiniform veno- us plexus. It is assumed that it occurs in 8% to 16% of the male population and predisposes to male infertility. The aim of our study was to assess laparoscopic treatment of the varicocele in children using the Palomo method.

MATERIAL AND

METHODS

In the years 2002-2012, our clinic treated 114 boys with the varicocele on the left side. In all patients the procedure involved ligation of veins, the testicular artery and lymphatic vessels with the Roeder knot. The average time of the procedure was 29 min.

RESULTS

Varicocele recurrence was found in 2 out of 94 patients reporting for the follow-up visit, and this corresponds to 2.1% of the studied group. The postoperative hydrocele occurred in 20 patients, of which 5 (5.3% of the studied group) required surgical treatment with the Winkelmann technique, while in 15 (15.9% of the studied group) disappeared spontaneously during the average follow-up period of 1 year. No other intra- or postoperative complications occurred in any patient. Also no case of testicular atrophy was diagnosed.

CONCLUSION

The results obtained from our laparoscopy patients using the Palomo method in treatment of varicocele can be considered satisfactory.