COMPLICATIONS ASSOCIATED WITH IVANSSEVICH'S PROCEDURE FOR VARICOCELE TREATMENT

Abstract

Background: Ivanissevich procedure is commonly practiced in district hospitals for the management of varicocele. However, the complications associated with this procedure are considered to be higher as compared to other procedures such as Paloma and laproscopy. The aim of this study was to find out the frequency of complications associated with Ivanissevich procedure for varicocele treatment. Material & Methods: This descriptive study was performed at Department of Surgery, DHQ Hospital, Kohat, from June 2011 to June 2013. Total 125 patients were studied. All these patients were having grade II varicocele. Complications were observed over the follow-up period of 6 months. Results: The age range of patients was 15 to 42 years with mean of 26.9 years. Ninety percent of these patients had grade II left sided varicocele. Regarding complications 5(4%) patients had postoperative hematoma /hydrocele formation, 12(10%) had scrotal edema that settled within a week, 20(16%) patients had recurrence and 2(1.6%) patients had testicular atrophy. Conclusion: Ivanissevich procedure has a high complication rate and alternate procedures with low complication rates like Paloma and laprorscopic varicocelectomy should be considered as the treatment options.

Keywords

• varicocele
• complications
• testis
• hematoma
• scrotal hydrocele
• atrophy.