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| Efficacy and Safety Comparison of two Surgical Approaches for Varicocele |
| FAN Bo, et al |
| The Fourth Hospital of Hebei Medical University,Hebei Shijiazhuang 050000,China |
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Abstract Objective:To compare the efficacy and complications of retroperitoneal and inguinal approaches for varicocele surgery. Methods: This study included 94 patients undergoing varicocelectomy (49 retroperitoneal vs. 45 inguinal approaches) between 2019 and 2023, with comparisons made for intraoperative outcomes, complications, and recurrence rates. Results: Both surgical approaches achieved technical success. The inguinal approach group demonstrated significantly longer operative time than the retroperitoneal group (P<0.05). However, the inguinal approach was associated with shorter postoperative hospitalization (P<0.05), lower pain scores (P<0.05), versus the retroperitoneal approach. There's no significant difference in blood loss complication rates between groups (P>0.05). The retroperitoneal approach showed superior outcomes in terms of lower recurrence rates (P<0.05). Conclusion: The retroperitoneal approach for varicocelectomy demonstrated superior outcomes in operative duration and recurrence rates compared to the inguinal approach. Conversely, the inguinal approach was associated with shorter postoperative hospitalization and lower pain scores. Both surgical techniques proved effective for varicocele treatment. In clinical practice, the surgical approach should be individualized based on patient characteristics.
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2025, Vol. 31 
