Background Varicocele is the first andrological disease in adolescent male. The aim of this study is to report our experience in varicocele treatment in paediatric age.
Materials and methods We analysed patients treated with different techniques between January 2005 and January 2013. Inclusion criteria for the study were created. Patients were treated with different techniques based on the type of spermatic vein reflux detected on Doppler velocimetry. Type I spermatic vein reflux mini-invasive approaches, type II and III vein reflux open approaches. The following rates were considered as study endpoints: hydrocele rate; rate of relapses; rate of persistence; rate of testicular atrophy.
Results During the study period 522 surgical varicocelectomies were performed. 345 cases were treated with videolaparoscopy (66,1%), 115 cases with an open inguinal technique (22,1%), 47 cases (9%) received a subinguinal technique (trans-scrotal technique in 18 cases and subinguinal technique in 29 cases) and 15 cases (2,8%) were treated with the one-trocar transumbilical technique.
The laparoscopic technique and the subinguinal techniques showed a lower rate of hydrocele. Laparoscopic technique had less rate of relapses.
Conclusions The laparoscopic techniques had less rate of relapses respect to other technique; this results could be related to the technique chosen respect to the type of spermatic vein reflux.