ttelo1.gif (1393 bytes) LAPAROSCOPY  IN  UROLOGY

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LAPAROSCOPIC VARICOCOELECTOMY


The testis normally remains at a lower temperature than the body. This is essential for normal sperm production. The blood supply to testis comes from vessels that come from within the abdomen. Sometimes the main blood vessel that carry blood from the testis to the heart (testicular vein) gets dilated and elongated. They then act as heating coils, keeping the temperature of the testis same as body temperature. This causes depression of the sperm producing function of the testis. If this is not corrected by stopping the blood supply through this dilated and tortous vein, irreversible damage to the testis can occur.

By key hole surgery, the blood supply through the defective vein can be stopped from within the abdomen. Only 3 key holes are required whether the problem is on one side or both sides.

varicocoel.gif (5190 bytes)You would be hospitalised usually for only 3 days and allowed to go back to work usually, within another 4 days. Besides during laparoscopy, there is a 10 to 15 times magnification of all the delicate structures, making laparoscopy more precise than open technique.

This is thus a far superior technique when compared to open surgery, were a large wound on the abdomen is required for achieving the same thing. Besides, in open surgery, two such wounds are required when the problem is on both sides. These large wounds require 6 weeks to become strong.
PRE-OPERATIVE CHECK UP
1. Medical fitness for general anaesthesia would be assessed before admission if you have any health problems. Otherwise this is usually done on the day of admission.
DAY OF ADMISSION
1. You should come to the hospital to the Urology OP.
DAY OF SURGERY.
1.. The anaesthetist would decide from what time you should fast. Usually this is for a minimum of 4 hours.
2. After surgery, you will be in post operative intensive care ward .
3. If you are feeling perfectly allright, you will be allowed to go back to your room.
1ST POST OPERATIVE DAY
1. You can have light diet to start with and then normal diet later in the day..
2. If you feel well you will be allowed to go home.
2ND POST OPERATIVE DAY.
1. Usually allowed to go home and asked to come back for reveiw in a week.
AT HOME.
1. There is no need to take rest. However, you should not lift anything or drive for another 3 or 4 days.