Laparoscopic varicocele ligation: a recommendable standard procedure with good long-term results.

In the last 2 years we have performed 100 laparoscopic varicocele ligations. The indications for surgery were pain, a small testicle or prevention of subfertility. 4 patients had undergone previous embolization therapy or open operation and developed recurrences. 5 patients had bilateral varicocele. No severe intraoperative complications occurred. Postoperative complications were of low morbidity and were managed conservatively. The follow-up time was 3-30 months. The overall persistence and recurrence rate was 8%. Laparoscopic varicocele ligation is safe and can be recommended.