Ces Urol 2001, 5(2):44-46 | DOI: 10.48095/cccu2001021

Results of microsurgical varicocelectomy

D. Pacík, M. Turjanica
Urologická klinika, LF Masarykovy University, FN Brno

Microsurgical varicocelectomy (MVE) represents a standard and highly effective treatment method of varicocele indicated for correction. After introducing this method to our workplace we analyze results of the first group of 97 patients with 105 MVE provided from April 1998 to June 2000. During the average follow-up period of 10 months the subclinical recurrence of varicocele was documented in one patient (1 %), postoperative hydrocele in 0 %, and postoperative complications in 3 patients (3 %) - 2 cases of secondary wound healing and one case of incipient epididymitis. The average duration of stay in hospital was 1,11 day, none of the patient required the application of painkillers. The evaluation of postoperative changes in sperm parameters was available in 49 patients (100 %), with sufficient follow-up interval until 30.6.2000. Pregnancy was achieved in 4 cases (8 %), the sperm count was fully normalized in 7 patients (14 %), improvement in at least one sperm parameter was achieved in 30 patients (61 %) and no improvement was observed in 19 men (39 %). no improvement was observed in 19 men (39 %).

Keywords: Varicocele, Male infertility, Microsurgical varicocelectomy

Published: March 1, 2001 


References

  1. Clarke BG: Incidence of varicocele in normal men and among men of different ages, JAMA, 198, 1966, s. 1121-1122. Go to original source... Go to PubMed...
  2. Johanson DE, Pohl DR, Rivera-Correa H: Varicocele: an innocuos condition?, South. Med. J., 63, 1970, s. 34-36. Go to original source... Go to PubMed...
  3. Steeno O, Knops J, Declerk L, et al.: Prevention of fertility disorders by detection and treatment of varicocele at school and college age, Andrologia, 8, 1976, s. 47-53. Go to original source... Go to PubMed...
  4. Dubin L, Amelar R: Varicocelectomy: 986 cases in a 12 year study, Urology, 10, 1977, s.446-449. Go to original source... Go to PubMed...
  5. Gorelick J, Goldstein M: Loss of fertility in men with varicocele, Fertil. Steril., 59, 1993, s. 613-616. Go to original source... Go to PubMed...
  6. Witt MA, Lipshultz LI: Varicocele: progressive or static lesion?, Urology, 42, 1993, s. 541-543. Go to original source... Go to PubMed...
  7. World Health Organisation (WHO): The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics, FertilSteril., 57, 1992, s. 1289-1292. Go to original source...
  8. Kass EJ, Freitas JE, Bour JB: Adolescent varicocele: objective indications for treatment, J. Urol., 142, 1989, s. 579-582. Go to original source... Go to PubMed...
  9. Kočvara R, Novák K, Doležal J, Kříž J, Kubíček V, Staněk Z, Hampl R: Klinické a hormonální nálezy u dětí a dospívajících s varikokélou, Česká Urologie, 4, 2000, s. 27 - 31.
  10. Študent V, Záťura F: Subklinická varikokéla, Česká urologie, 4, 1999, s. 23 - 24.
  11. Pryor JL, Howards SS: Varicocele, Urol. Clin. North. Am., 14, 1987, 499-513. Go to original source...
  12. Madgar I, Weissenberg R, Lunenfeld B, et al.: Controlled trial of high spermatic vein ligation for varicocele in infertile man, Fertil.Steril., 63, 1995, s. 120-124. Go to original source... Go to PubMed...
  13. Laven JS, Haans LC, Mali WP, et al.: Effects of varicocele treatment in adolescents, Fertil.Steril., 58, 1992, s. 756-762. Go to original source... Go to PubMed...
  14. Nieschlag E, Hertle L, Fischdick A, et al.: Treatment of varicocele: counseling as effective as occlusion of the vena spermatica, Hum.Reprod., 10, 1995, s. 347-353. Go to original source... Go to PubMed...





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