Abstract

Objectives: To know about the side of presentation of varicocele and the role of laparoscopic surgery in treatment of symptomatic varicocele in terms of relief of signs and symptoms.
Methodology: This prospective cross sectional study was conducted at department of surgery, Khyber Teaching Hospital, Peshawar in four years and included 243 patients. Standard two ports laparoscopic procedure was carried out for varicocelectomy. Surgical success and complications were noted. Data were analyzed using SPSS 21.
Results: Mean age of patients was 39.3±3.1 years. Common symptom was pain (79.8%) and dragging sensations in scrotum (79.8%) followed by scrotal swelling and infertility in 41.1% and 22.6% of cases, respectively. Strong association between varicocele and side of presentation was noted, being more common on left side (P=0.001). Moreover, 92(37.9%) had grade II and 151(62.1%) had grade III varicocele. In all cases surgery was performed successfully. In the post-operative course, 66.6% patients had complete symptomatic relief (P=0.002). Seven(2.8%) patients develop port site hematoma otherwise no complication was noted. All patients were discharged from hospital after stay of 12-24 hours.
Conclusion: Varicocele in most of the patients was on left side of scrotum. Laparoscopic surgery was an efficient way of treatment of varicolcele, with high success rand low complications rate in all cases.

Key words: Varicocele, laparoscopic varicocelectomy, hematoma, scrotum.