Safety and Efficacy of Microscopic Varicocelectomy

Document Type : Full Length research Papers

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1 Urology department, faculty of medicine, fayoum university

2 Urology department, Faculty of medicine, Fayoum university

Abstract

Introduction: Varicocele causes infertility in only 20% of patients with varicocele. About 15-20% of males have varicocele. Varicocele is asymptomatic in most cases.
Aim of the study: To study the effectiveness and safety of microscopic varicocelectomy.
Subjects and Methods: The current study incorporated 25 patients. Clinical grading of varicocele in both sides was assessed prior to the procedure. All patients were investigated in the form of semen analysis and scrotal doppler ultrasound, including measurement of testicular volume and diameter of veins before and 3 months' post-operative.
Results: Microscopic varicocelectomy led to a statistically significant enhancement in semen parameters post-operative, with P value < 0.05. Nevertheless, there was no statistically significant difference pertaining to testicular volume post-operative with P value 0.05. Only 1 case of recurrence was reported at the end of follow up period with no other complications reported.
Conclusions: Using microscopic varicocelectomy is safe and efficient technique in treating varicocele.
Keywords: Varicocele; Infertility; Microscope; Varicocelectomy.

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