The laparoscopic treatment of the varicocele as gold standard procedure

The idiopathic varicocele, defined as a pathologic situation caused from an alteration of the testicular venous drainage and the resulting appearance of varices into the pampiniform plexus, continues to be in the centre of a debate, which includes both clinical and therapeutic arguments. In this debate an important fact is that still now there is nobody who can say: the varicocele is not more a bugbear for male sex. Even if it is considered a benign condition, and the most sustains this only warranting the surgical intervention, and this specially in case of a symptomatic varicocele, it is not true for us. To its being considered a benign condition corresponds a reality which is not at all reassuring: the fact that the varicocele untill now is the principal and more common cause of subfertility and infertility in male sex. The result counts too much heavy for society: the 40%-55% of male individual in reproducing age with varicocele are infertile. It's important to lay stress on the importance of the observation and identification of forewarn signs in childhood to avoid that its consequences can manifest in adulthood. So, it needs to be treated as soon as possible and the treatment has to be granted to a procedure which has an exact close: the complete restitutio ad integrum of all male parameters, in terms of testicular trophism and spermatic values, discredited by the varicocele. This main objectiv is reachable by the laparoscopic technique.