Abstract
In this study, we aimed to compare the advantages and disadvantages of open varicocelectomy with Kelami's incision versus laparoscopic varicocelectomy in bilateral varicoceles. We performed bilateral varicocelectomy by infrapubic incision in 43 patients with bilateral varicocele in our clinic between November 1995 and June 1997. The results of this method were compared with laparoscopic varicocelectomy results taken from literature. Open surgery has been found more advantageous in relation to the type of anesthesia, duration of the operation, complications and cost-effectiveness. There is no significant difference between the two methods with regard to the time of returning to normal activity. But, postoperative analgesic requirement in open surgery is more than in laparoscopic varicocelectomy. It is not fully known which method is best in varicocele treatment. In our clinic, however, open surgical ligation with Kelami's incision is preferred in bilateral varicocelectomies until a certain concensus is held about this treatment.
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