Varicocele
Conditions
Brief summary
Conventional laparoscopic varicocelectomy using 3 ports has been used for treatment of varicocele in our department since the nineties. However, the relatively several trocar wounds represent a big challenge against its acceptance by many of our patients who prefer the open approach with one or at least two wounds. Single incision laparoscopic surgery (SILS), since its introduction in 2007, has been proven to be feasible and effective, with high patient satisfaction rates regarding improved cosmotic outcomes, reduced postoperative pain, and rapid return to normal activities. (10, 11) SILS for varicocelectomy has been reported to be safe and effective alternative to conventional laparoscopic varicocelectomy in a few studies.
Interventions
PROCEDUREsingle incision laparoscopic varicocelectomy
bilateral and unilateral varicocelectomy was performed through a single transumbilical flexible SILS port.
PROCEDUREconventional transperitoneal laparoscopic varicocelectomy
bilateral and unilateral varicocelectomy was performed through a conventional 3-ports transperitoneal varicoceletomy
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with palpable varicoceles
Exclusion criteria
* unfit for anesthesia or laparoscopy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of patients with improvement in semen parameters and resolution of testicular pain | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| number of patients developing postoperative complications | 2 years |
Outcome results
None listed