*Controversies in the Laparoscopic Treatment of Varicocele in the Pediatric Population DOI: http://dx.doi.org/10.5772/intechopen.106793*

than non-surgical options (20.5%) in the management of varicocele. From the overall analysis of multicenter studies, it appears that pediatric surgeons are more familiar with the laparoscopic approach, although this does not mean that laparoscopy is the most effective technique. The current trend demonstrates a progressive shift towards the microsurgical technique, even though the studies in the pediatric population remain limited compared with those for adults. Solid data on the impact on paternity rates are still lacking. However, it has been shown that when an intervention is performed, the lymphatic sparing techniques have a distinct advantage.

At present, the evaluation and choice of treatment for adolescent varicocele patients is based not on objective fertility criteria (paternity) but on indirect evidence that testicular function or spermatogenesis and thus ultimately also fertility may be compromised [63]. Finally, from the analysis of the literature, the choice of the technique appears to depend largely on the experience and preferences of the surgeon rather than on a shared option.
