DOI: https://doi.org/10.36347/sasjs.2024.v10i12.003

Pages: 1363-1367

Background: Varicocele, characterized by the dilation and tortuosity of the pampiniform plexus veins, predominantly affects the left testis due to unique anatomical factors, including the perpendicular entry of the left testicular vein into the renal vein. Affecting 18% of the male population, varicocele is a common cause of infertility, especially in adolescents and adult men, with left-sided dominance accounting for up to 35% of infertility cases. Diagnosis relies on physical examination and Doppler ultrasound. Management prioritizes alleviating discomfort and addressing infertility, with laparoscopic high ligation emerging as a superior method due to its precision, reduced recurrence, and lower complication rates. Aim of the Study: This study aims to share our five-year experience with laparoscopic high ligation, specifically for left-sided varicocele, focusing on postoperative complications, recurrence rates, and its effectiveness in relieving symptoms and improving outcomes in affected patients. Methods: This cross-sectional study was conducted at the Department of Urology, Shahid Sk. Abu Naser Specialized Hospital, Khulna Medical College Hospital and two other private Hospitals in Khulna city, Khulna, Bangladesh from January 2017 to June 2023. It included 32 male patients aged 15–40 years who underwent laparoscopic surgery for grade II or III left-sided varicocele. Inclusion criteria focused on symptoms of testicular pain, visible tortuous veins, and oligospermia. Patients with renal malignancy or recurrent varicocele were excluded. Laparoscopic surgery involved a 10 mm paraumbilical port for pneumoperitoneum creation (12–14 mmHg) and two additional ports for vein dissection and clipping. Data collection included pain assessment, Doppler ultrasonography, and follow-ups at 3 and 6 months. Analysis was performed using SPSS 26, with statistical significance set at p<0.05. Result: This study analyzed outcomes in 32 patients (mean age: 32.19±3.28 years) ...