Bilateral varicocele is commonly treated by microsurgical varicocelectomy. The conventional bilateral subinguinal approach usually requires two separate skin incisions, one on each side. A single midline infrapubic approach may allow bilateral microsurgical repair through one incision and may reduce access-related morbidity. This prospective randomized controlled trial will compare single infrapubic microsurgical bilateral varicocelectomy with conventional bilateral subinguinal microsurgical varicocelectomy in adult men with clinically palpable bilateral varicocele. The study will evaluate postoperative pain, analgesic requirement, time to return to normal daily activity, operative time, scar satisfaction, wound complications, recurrence, and other safety outcomes during follow-up.
Age range
18 Years – 45 Years
Sex
MALE
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A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Postoperative Pain Score
Timeframe: 6 hours, 24 hours, and 7 days after surgery
Analgesic Requirement
Timeframe: During the first 7 postoperative days
Time to Return to Normal Daily Activity
Timeframe: From surgery until return to normal daily activity, assessed up to 30 days after surgery
Total Operative Time
Timeframe: During surgery