Risultati della varicocelectomia bilaterale laparoscopica

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COD: 2000_05_587-592 Categorie: ,

S. Pianalto, G. Bonanni, S. Ma rtella, M. Renier, E. Ancona

Ann. Ital. Chir., LXXI, 5, 2000

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Left varicocele (LV) is a common clinical condition that is present in approximately 15% of the general male population. Bilateral varicocele (BV) is an association of clinical LV and subclinical or ultrasound diagnosed right varicocele. Recent diagnostic technology suggests that BV is much more common than previously suspected va rying from 15 to 57%. The laparoscopic technique offers the possibility of planning bilateral varix ligation but only a few reports are currently available. The aim of this study was to evaluate the outcome of contemporary bilateral correction of BV on spermatogenesis. From 1992 january to 1998 december a total of 207 patients with clinical left varicocele and a pathological sperm count were studied. Scrotal sonography was perf o rmed and in 96 patients (group A) subclincal right varicocele was diagnosed while 111 patients (group B) only had LV. 84 patients were married and had tried insuccesfully for a pregnancy for at least one year before evaluation. All patients underwent laparoscopic varicocelectomy, performed under general anestesia with a three trocar technique with application of clips to the spermatic vein and resection. Patients with right reflux received bilateral varix ligation. Operating time averaged 28 minutes for unilateral cases and 42 minutes for bilateral legatures.

*ERRATA CORRIGE
ANNALI ITALIANI DI CHIRURGIA
ANNO LXXI – N.5-2000
RISULTATI DELLAVARICOCELECTOMIA BILATERALE LAPAROSCOPICA
AUTORI: B. Pianalto, G. Bonanni, S. Martella, M. Renier, E. Ancona
LEGGASI:
S. PIANALTO, G. BONANNI, S. MARTELLA, M. RENIER, E. ANCONA