Laparoscopic Management of Pediatric Varicocele

Varicocele in the pediatric population represents a challenge to establish the degree of severity and the consequent risk of impairing the testicular development and function and to establish the best timing for surgical therapy. The real impact in adulthood fertility and paternity in pediatric patients with varicocele or those operated of varicocelectomy is not clear. Laparoscopic varicocelectomy offers excellent results with a low risk of complications in children and adolescents. Moreover, the association of a lymphatic sparing technique reduces significantly the risk of postoperative hydrocele.