Long-Term Results of Microsurgical Varicocelectomy

Authors: M. Nussir;  D. Pacík
Authors‘ workplace: Urologická klinika, LF Masarykovy Univerzity, FN Brno, přednosta: prof. MUDr. D. Pacík, CSc.
Published in: Rozhl. Chir., 2006, roč. 85, č. 11, s. 566-569.
Category: Monothematic special - Original


Presentation of microsurgical varicocelectomy (MVE) treatment outcome in infertile males, in males with symptomatic varicocela and in males with hypotrophic testes.

Material and Methodology:
From IV/98 to XII/05, a total of 350 patients with varcicocelas were operated in our clinic, using the MVE method. The authors assess the surgical method results in 131 patients. In 90.84% of the patients, the procedure was performed in order to manage infertility, in 7.63% for dyscomfort and in 1.53% due to findings of hypotrophic testes. 82.44% of the patients sufferred from a left-sided varicocela, 6.03% from a bilateral one and 1.53 % from a right-sided varicocela.

Postoperative follow up of spermiograms (Spg), performed at three-month intervals, confirmed significant Spg improvements in 75.57% of the patients, in 13.74% of the cases no change was reported, and in 7.63% the Spg could not be assessed because the patients failed to turn up for a check up, and in 3.05% mild deterioration of the Spg was reported.

Microsurgical varicocelectomy is a standard and highly effective treatment method of varicelas, which are indicated for management.

Key words:
varicocela – microsurgical varicocelectomy – male infertility

Surgery Orthopaedics Trauma surgery
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