Cosmetic outcomes of improved microscopic subinguinal varicocelectomy in patients with varicoceles

To the Editor:Varicoceles(VCs)refer to the dilation of the veins of the pampiniform plexus.The primary treatment method for VCs with definite surgical indications is the surgical treatment.With the development of minimally invasive technology,the application of microscopic subinguinal varicocelectomy(MSV)has gradually increased in recent years and has become the standard treatment method for VCs.[1]In the long-term clinical practice of our department,some young people have required surgery for VCs due to physical examination in special industries(e.g.,military physical examination).They have wanted the incision to be esthetic,seamless,and concealed.With the expectation of cosmesis,we have made some improvements in the selection of the surgical incision.Using the Scar Cosmesis Assessment and Rating(SCAR)scale,[2]we comprehensively evaluated the cosmetic effects of patients undergoing improved MSV(IMSV)and MSV in this study.