Abstract

Aim: We aimed to describe, and present our experiences about the technique of laparoscopic single-site varicocelectomy (LSS-PV) for the treatment of varicocele in adolescents.

Material and Methods: We analyzed retrospectively charts of adolescent patients who underwent LSS-PV between January 2012 and January 2014. All procedures were performed through a 2 cm vertical umbilical incision, using SILS instruments. Ttesticular vessels were completely excised with LigaSure without preserving the testicular artery and lymphatic vessels. Demographic data were evaluated as for clinical features, results of treatment, and complications.

Results: Six patients underwent transabdominal LSS-PV. The median age of patients was 13,5 years (range; 11-18). We applied LESS-PV on the left side in 5 cases, and bilaterally in 1 case. Of 6 patients; 4 had grade 3, one patient grade 3 varicoceles. In one patient grade 4 on the left, and grade 3 on the right sid were detected. Mean operative time was 30 (range; 20-40 min). None of the patients required conversion to open surgery. Average duration of hospital stay was 1 day, and the average follow-up was 24.2 months (range; 9-29). We did not encounter any perioperative complication. During the long-term follow-up a mild hydrocele was developed in one patient, however, none of the patients had disease recurrence or testicular atrophy. All of the operated patients had increased testicular size.

Conclusion: We think that LESS-PV is an easy, safe and effective technique for varicocelectomy in adolescent boys.