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Abstract . In our study we compare inguinal. laparoscopic and microsurgical subinguinal varicocelectomy and we have concluded that Inguinal varicocelectomy was more time consuming with more hydrocele formation and prolonged hospital stay with the need of post operative analgesics and delayed return to normal activity. Although laparoscopic varicocelectomy is a safe and simple minimally invasive with early return to work and short hospital stay and being a microscopic procedure it allow identification and preservation of the spermatic artery and vas deferens thereby decreasing the risk of injury to these structures and hence preserving testicular function It has many disadvantages. _ A minor operation is converted to a mojor intra abdaminal operation. _ The inability to ligate the external cremastric veins _ The high rate of recurrence or presistent varicocele (200/0) - We didn’t avoid hydrocele formation Microsurgical subinguinal varicocelectomy IS minimally invasise less time consuming with less hospital stay, early return to work and with no post operative complications specialy hydrocele, recurrence. |