COMPARATIVE EFFECTIVENESS OF MARMAR TECHNIQUE AND LAPAROSCOPIC CLIPPING OF TESTICULAR VEIN IN SURGICAL TREATMENT OF VARICOCELE IN ATHLETES

Introduction Varicocele is one of the most common diseases among men and a proven cause of male infertility, which is directly proportional to its clinical prominence. The aim To evaluate the immediate and long-term outcomes of different surgical methods to treat varicocele in athletes. Materials and methods. A total of 165 athletes were treated for varicocele. Of them, 82 patients (group 1) underwent varicocele surgery using Marmar technique and 83 patients (group 2) were treated by laparoscopic clipping of testicular vein (endoscopic analogue of Ivanissevitch open surgery). Results The incidence of postoperative complications and relapse at 6 months after surgery in groups 1 and 2 was 1.2% and 8.4%, and 4.9 and 14.5%, respectively. The study findings showed a statistically significant (p<0.05) improvement in the spermogram parameters in both groups compared with preoperative values. Conclusions The length ofhospital stay and postoperative rehabilitation period were shorter in patients after Marmar’s varicocelectomy than in patients of group 2. Besides, Marmar technique for varicocele was cost-effective and justified.

varicocele, varicocele in athletes, Marmar technique, laparoscopic clipping of testicular vein