Comparison of the Techniques of the Microscopic Varicocelectomy and Inguinal Varicocelectomy

Abstract

Aim: The aim is to compare the results of two different varicocelectomy techniques. Material and Method: Between July 2005 and February 2011; 68 patients who are of 84 varicocele whose ages were ranged from 15 to 39 (26.4 +/- 6) and whom inguinal varicocelectomy or subinguinal microscopic varicocelectomy were performed due to the clinical varicocele were retrospectively evaluated. The complication rates; preoperative and postoperative sperm parameters and pregnancy rates of both groups were evaluated and compared. Results: The duration of the operation in the subinguinal microscopic group was significantly long compared to the inguinal group. Hydrocelectomy and the recurrence of varicocele were not observed in the subinguinal microscopic group; hydrocele in 3 cases and the recurrence of varicocele in 5 cases were detected in the inguinal group. The difference in between was significant. There was a recovery of 75% in the number of sperm and / or movement in the subinguinal microscopic group and a recovery of 64% in the inguinal group; these values were statistically significant comparable level in both group. The rates of the pregnancy in the first year was 29% in the subinguinal microscopic group and was 26% in the inguinal group; there was no significant difference among the pregnancy rates between both groups. Discussion: Subinguinal microscopic varicocelectomy has yielded better results with low complication and higher success rates compared to the inguinal varicocelectomy.