Microsurgical subinguinal varicocelectomy (MSV) is considered the preferred treatment for varicocele. However, its adoption among urologists in Indonesia is limited due to the high cost of acquiring a surgical microscope. Therefore, most varicoceles were managed using loupe-assisted MSV, which is considered a less effective approach. This paper presents a case study of a patient with bilateral grade II varicocele who underwent a successful MSV procedure using a video exoscope. The exoscope provided sufficient magnification and image quality for the safe and efficient performance of MSV on a patient.
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