title: Laparoendoscopic single-site varicocele repair in adolescents-initial experience at a single institution.
abstract: OBJECTIVE
  Laparoendoscopic single-site (LESS) varicocele repair is a modification of standard laparoscopic varicocele repair that uses a single port. We describe our initial experience with LESS varicocele repair.
  
  
  METHODS
  During a 1-year period, all patients who presented for varicocele repair underwent LESS repair. We evaluated our initial experience by determining operative time, operative and postoperative complications, and overall cost of the procedure.
  
  
  RESULTS
  A total of 11 adolescents underwent LESS varicocele repair. There were no intraoperative complications, and there were no conversions to open surgery or traditional laparoscopy. Estimated blood loss was minimal, and mean operative time was 66.9 minutes (range 48-91 min). The varicocele was corrected in all cases. During the 4 to 14 month follow-up, there was no recurrence, testis atrophy, or hernia in any patient. One subclinical hydrocele developed postoperatively that has not been repaired.
  
  
  CONCLUSIONS
  Our experience with LESS varicocele repair in adolescents suggests it to be a safe and effective method for varicocele repair in adolescents.
authors.affiliation: Division of Urology, Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA. baronejg@umdnj.edu
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Barone
authors.forename: Kelly
authors.initials: K
authors.lastname: Johnson
authors.forename: Matthew
authors.initials: M
authors.lastname: Sterling
authors.forename: Murali K
authors.initials: MK
authors.lastname: Ankem
mesh_terms: D000293:Adolescent; D003365:Costs and Cost Analysis; D006801:Humans; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D008297:Male; D016896:Treatment Outcome; D014646:Varicocele / Q000191:economics / Q000601:surgery*; D014945:Wound Healing; D055815:Young Adult