Between December 1993 and October 1996 the authors performed laparoscopic operations of varicocele in 75 patients incl. 53 for concurrent subfertility. In all patients before operation by Doppler sonography and coloured Doppler mapping venous reflux was detected. The volume of the testis was also assessed by sonography. In subfertile patients changes of the spermiogram were assessed. After operation the blood supply was evaluated (the resistive index), the volume of the testes, the duration of the operation and changes in the spermiogram. The authors did not detect a significant difference between the group of 27 patients where with the vein also the artery was ligatured and the group of 48 patients where only the vein was ligatured. The patients were not damaged by ligature of the artery.

• MeSH
• dítě MeSH
• dospělí MeSH
• laparoskopie * MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• počet spermií MeSH
• regionální krevní průtok MeSH
• spermatogeneze * MeSH
• testis krevní zásobení   diagnostické zobrazování   MeSH
• ultrasonografie dopplerovská barevná MeSH
• varikokéla diagnostické zobrazování   patofyziologie   chirurgie   MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

UNLABELLED: The aim of this work was to assess benefits and complications of laparoscopic procedures of varicocoelas in children and adolescents, conducted in our clinic. MATERIAL AND METHODOLOGY: From 2000 to 2004, 202 patients (198 with leftsided, 2 with rightsided and 2 with bilateral varicocoelas) underwent laparoscopic procedures in our clinic. Patients with stage II and III varicocoelas were operated. The median age of the operated patients was 15 years (range 11-18 years). The procedures saved arteries and lymphatics maximally. RESULTS: During a two-year follow up period, 8 patients (3.96%) relapsed, 21 patients (10.39 %) presented with hydroceolas. No testical hypotrophy was recorded in our patient group. Also, no peroperative complications were recorded during the laparoscopic procedures. The procedures lasted 20.4 min, on average, hospitalization lasted 4.2 days, on average (range 4-6 days). CONCLUSION: Laparoscopic varicocolectomy, maximally saving arteries and lymphatics, proved a safe method. The rate of complications is similar to that of other treatment procedures of childhood varicocoelas. Rather long term effects considering a quality of hormonal production of testes and seminal counts, than postoperative complications rates, are the main parametres for choice of a treatment method.

• MeSH
• dítě MeSH
• laparoskopie * MeSH
• lidé MeSH
• mladiství MeSH
• pooperační komplikace MeSH
• recidiva MeSH
• varikokéla chirurgie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH