title: Review of current varicocelectomy techniques and their outcomes.
abstract: OBJECTIVE
  • To review all the various techniques and their results and efficiencies to provide practicing urologists with some guidance for choice of technique • To discuss improvements of varicocelectomy techniques in the last 15 years and their impact on results of surgery.
  
  
  METHODS
  • A PubMed English literature review of literature from 1995 to present.
  
  
  RESULTS
  • Pregnancy rates were highest with microsurgical subinguinal technique • Varicocele recurrence rates were lowest with microsurgical subinguinal technique • Hydrocele formation rates were lowest with microsurgical inguinal technique • Surgical complications were highest in the laparoscopic technique • Varicocelectomy by itself or in conjunction with IVF is cost effective
  
  
  CONCLUSIONS
  • Microsurgical subinguinal or microsurgical inguinal techniques offer best outcomes • Varicocelectomy is a cost effective treatment modality for infertility • Further research is needed to explore new developments in varicocelectomy.
authors: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
authors: Paul
authors: P
authors: Diegidio
authors: Jay K
authors: JK
authors: Jhaveri
authors: Suzanne
authors: S
authors: Ghannam
authors: Ruben
authors: R
authors: Pinkhasov
authors: Ridwan
authors: R
authors: Shabsigh
authors: Harry
authors: H
authors: Fisch
mesh_terms: D006801:Humans; D008297:Male; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D014646:Varicocele / Q000601:surgery*