SavedAdd your journal

Journals / Turkish Journal of Medical Sciences / 2017 / Cilt: 47 - Sayı: 1

Comparison of response to treatment of unilateral and bilateral varicocelectomy

Ural OĞUZ
Ercan ÖĞREDEN
Erdal BENLİ
Abdullah ÇIRAKOĞLU
Erhan DEMİRELLİ
Orhan YALÇIN
Pages
167–171
Publication Date
2022-11-04
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Improvement rates in sperm parameters were similar between the patients who underwent unilateral and bilateral varicocelectomy

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/aim: We aimed to compare the results of unilateral and bilateral varicocele surgery.
📊
Key Findings & Data:Materials and methods: In two referral hospitals, the data of 180 patients who were treated with unilateral and bilateral microscopic varicocelectomy were retrospectively analyzed.
💡
Conclusion & Impact:Improvement rates in sperm parameters were similar between the patients who underwent unilateral and bilateral varicocelectomy
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: We aimed to compare the results of unilateral and bilateral varicocele surgery. Materials and methods: In two referral hospitals, the data of 180 patients who were treated with unilateral and bilateral microscopic varicocelectomy were retrospectively analyzed. Sperm parameters and spontaneous pregnancy rates were compared in patients who underwent bilateral and unilateral microscopic varicocelectomy. Results: The mean age was 29.6 (17 46) years. While 82 patients underwent unilateral varicocelectomy (Group I), 98 patients underwent bilaterally varicocelectomy (Group II). Forty (48.8%) spontaneous pregnancies occurred in Group I and 59 (60.2%) in Group II. When we analyzed sperm parameters, the rate of increase in the number of sperm in spermiograms was 17% in Group I and 27.5% in Group II. The rate of increase in sperm mobility was 58.5% and 50% in Group I and II, respectively. The improvement rate in sperm morphology was 46.3% in Group I and 56.1% in Group II. There were no significant differences between all these parameters. Conclusion: In light of our results, although pregnancy rates seemed to be higher in patients who underwent bilateral varicocelectomy, these results were not statistically significant. Improvement rates in sperm parameters were similar between the patients who underwent unilateral and bilateral varicocelectomy

🔖

Cite This Article

OĞUZ, U., ÖĞREDEN, E., BENLİ, E., ÇIRAKOĞLU, A., DEMİRELLİ, E., YALÇIN, O. (2022). Comparison of response to treatment of unilateral and bilateral varicocelectomy. Turkish Journal of Medical Sciences, Cilt: 47 - Sayı: 1, 167–171. https://ajindex.com/articles/610417

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Gorelick JI, Goldstein M. Loss of fertility in men with varicocele. Fertil Steril 1993; 59: 613-616
  2. Harrison RM, Lewis RW, Roberts JA. Pathophysiology of varicocele in nonhuman primates: long-term seminal and testicular changes. Fertil Steril 1986; 46: 500-510
  3. Lipshultz LI, Corriere JN Jr. Progressive testicular atrophy in the varicocele patient. J Urol 1977; 117: 175-176
  4. Vanlangenhove P, Dhondt E, Everaert K, Defreyne L. Pathophysiology, diagnosis and treatment of varicoceles: a review. Minerva Urol Nefrol 2014; 66: 257-282
  5. Pajovic B, Radojevic N, Dimitrovski A, Radovic M, Rolovic R, Vukovic M. Advantages of microsurgical varicocelectomy over conventional techniques. Eur Rev Med Pharmacol Sci 2015; 19: 532-538
  6. Ficarra V, Crestani A, Novara G, Mirone V. Varicocele repair for infertility: what is the evidence? Curr Opin Urol 2012; 22: 489-494
  7. Dohle GR, Colpi GM, Hargreave TB, Papp GK, Jungwirth A, Weidner W. EAU guidelines on male infertility. Eur Urol 2005; 48: 703-711
  8. Baazeem A, Belzile E, Ciampi A, Dohle G, Jarvi K, Salonia A, Weidner W, Zini A. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Eur Urol 2011; 60: 796-808
  9. Lv JX, Wang LL, Wei XD, Zhang Z, Zheng TL, Huang YH, Zhou J, Xia F, Pu JX. Comparison of treatment outcomes of different spermatic vein ligation procedures in varicocele treatment. Am J Ther 2016; 23: e1329-e1334
  10. Pajovic B, Radojevic N, Dimitrovski A, Radovic M, Rolovic R, Vukovic M. Advantages of microsurgical varicocelectomy over conventional techniques. Eur Rev Med Pharmacol Sci 2015; 19: 532-538
  11. Zhang H, Liu XP, Yang XJ, Huang WT, Ruan XX, Xiao HJ, Li LY, Gao X, Zhang Y1. Loupe-assisted versus microscopic varicocelectomy: is there an intra operative anatomic difference? Asian J Androl 2014; 16: 112-114
  12. Cayan S, Kadioglu TC, Tefekli A, Kadioglu A, Tellaloglu S. Comparison of results and complications of high ligation surgery and microsurgical high inguinal varicocelectomy in the treatment of varicocele. Urology 2000; 55: 750-754
  13. Goldstein M, Gilbert BR, Dicker AP, Dwosh J, Gnecco C. Microsurgical inguinal varicocelectomy with delivery of the testis: an artery and lymphatic sparing technique. J Urol 1992; 148: 1808-1811
  14. Peng J, Long H, Yuan YM, Cui WS, Zhang ZC, Pan WB. Comparison of the outcomes of microscopic varicocelectomy and laparoscopic varicocelectomy. Beijing Da Xue Xue Bao 2014; 46: 541-543 (in Chinese