Dergiler / GORM:Gynecology Obstetrics & Reproductive Medicine / 1996 / Cilt: 2 - Sayı: 2

Treatment of varicocele with microsurgical anastomosis

Varikoselin mikrocerrahi anastomozla tedavisi

Sayfa
131–133
DOI
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Özet

Ondört hastada spermatik venler mikrocerrahi anastomozla sapnen vene direne edildi. Operasyon 9 olgda profilaktik amaçla, 5 olguda ise infertilite tedavisi için uygulandı. İki haftada olguların %78'inde, 3 ayda %93'ünde varikosel tamamen kayboldu. Bir olguda ise (%7) varikosel boyutunda azalma olmasına karşın hala palpe edilebiliyordu. Hiç bir olguda varikosel boyutlarında artış gözlenmedi. Seminal parametreleri ciddi olarak bozulmuş olan olguların %80'inde tatmin edici düzelme gözlendi.

Abstract

Microsurgical direnage of spermatic veins to saphenos vein was performed in 14 patients. In 9 cases, the procedure was indicated as prophylaxis and in five cases as" treatment of infertility. Complete regression of varicosities was observed in 78% of the patients two weeks and 93% in three months. In the remaining 7% although a reduction was observed the varicecele was still palpable. No patient experienced progression of the disease. In 80% of the patients with altered seminal fluid parameters satisfactory improvement was observed.