Early and Late Complications of Inguinal Varicocelectomy

PURPOSE: I reviewed the early and late complications of inguinal and subinguinal varicocelectomy that I have personally encountered in an experience of more than 40 years as a urologist dealing with male infertility and offer suggestions to my colleagues for avoiding some of these pitfalls in the future. MATERIALS AND METHODS: These complications occurred as a consequence of surgery that I performed while using 4x to 6x power optical loupe magnification or they were complications of surgery performed elsewhere that I saw later in consultation. RESULTS: My commentary and suggestions for dealing with and decreasing the incidence of or avoiding such complications should be helpful to urologists performing inguinal or subinguinal varicocelectomy. CONCLUSIONS: Forewarned is forearmed.