Comparison of Outcome in Open and Laparoscopic Varicocelectomy in Terms of Operative Time and Wound Infection

Introduction: Male infertility is commonly caused by varicocele, which is frequently treated by an operation like open or laparoscopic varicocelectomy. The significant factors that affect the recovery and success of the surgery include operative time and the occurrence of wound infections during the postoperative period. Objective: To compare the results of open and laparoscopic varicocelectomy as regards operative time and wound infection. Material and Method: This is a cross-sectional, comparative study conducted at Department of Urology, Armed Forces Institute of Urology from January 03, 2025 and May 15, 2025. Two groups were used: Group A (open varicocelectomy) and Group B (laparoscopic varicocelectomy), each comprising 100 patients. The operating time and wound infection data were captured and assessed with SPSS v25. Results: The operating time was less in the open surgery, and the median time of operating was 38.4 in the open group as opposed to 50.6 in the laparoscopic group. However, there were significantly greater incidences of wound infection among the open group, 18 percent, against the laparoscopic group, where four percent was reported. Conclusion: Laparoscopic varicocelectomy, although it takes more time, leads to a low incidence of post-surgery wound infections with improved post-surgery results.