Author(s)

Landry Oriole Mbouché¹, Guy Aristide Bang¹, Axel Stéphane Nwaha Makon¹, Frantz Guy Epoupa Ngallé¹, Eric Patrick Savom¹, Roland Metomo¹, Junior Mekeme Mekeme¹, Achille Aurèle Mbassi², Justin Kamga², Blondel Nana Oumarou²

¹Department of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon.
²The National Insurance Fund Health Center of Essos, Yaoundé, Cameroon.

Background: Varicocele is an abnormal dilation and tortuosity of the internal spermatic veins within the pampiniform plexus veins draining the testicle. The principle of varicocele treatment is to block the reflux in the internal spermatic vein while preserving the internal spermatic artery, lymphatics and vas deferens. Treatment can be performed through percutaneous venous embolization or surgical correction, either open or laparoscopic approach. The purpose of the study was to review our experience in the management of laparoscopic varicocele repair and to assess the outcomes after operation. Methods: We retrospectively reviewed files of patients who underwent laparoscopic varicocelectomy from January 2010 to December 2009 in three health center of Yaoundé (Cameroon). Clinical and diagnosis features of varicocele, indication for surgery, operative procedure and outcomes, as well as long-term follow-up of were analyzed. Results: A total of 74 file of patients were collected. The average age of patients was 36.93 years old. Among them, 43 (58.11%) had varicocele grade 1, 21 (28.38%) grade 2, and 2 (2.70%) grade 3. Fifty-four (72.97%) cases had bilateral varicocele, 17 (22.97%) and 3 (4.05%) patients had left and right varicocele respectively. 42(56.7%) patients complained for fertility problem. Scrotal pain was found in 26 (35.13%) cases. The pneumoperitoneum was achieved in all cases through a supra-umbilical open coelioscopy with the insertion of a 10 mm-optic port. Two 5 mm working ports were used in all cases. Dilated veins were clipped without section simple in 56 cases (75.68%). the mean operative time was 31.9 min ± 8.6 min. With a mean follow-up period of 27 months, we recorded 4.05% of recurrence and hydrocele in 1 case (1.35%), symptoms’ regression in 87% of cases and pregnancy in 65.9% of cases of infertility. Conclusion: Laparoscopic varicocelectomy is feasible and safe in our setting, with good results. We emphasize this approach in even in low setting like our own.

Varicocele, Laparoscopy, Fertility, Pain

Mbouché, L. , Bang, G. , Makon, A. , Ngallé, F. , Savom, E. , Metomo, R. , Mekeme, J. , Mbassi, A. , Kamga, J. and Oumarou, B. (2021) Results of Adults Laparoscopic Varicocelectomy in a Limited Setting: A Study in Yaoundé (Cameroon). Open Journal of Urology, 11, 443-451. doi: 10.4236/oju.2021.1112044.