Effect of Low Ligation of Spermatic Vein on Varicocele under Microscope and Its Influence on Sexual Function
Objective To investigate the effect of low ligation of spermatic vein(hereinafter referred to as low ligation)under microscope on the sperm quality and sexual function in patients with varicocele(VC).Methods Clinical data of 86 VC patients admitted to Sanming Second Hospital from January 2020 to December 2022 were retrospectively se-lected and grouped according to the surgical plan.The control group(43 cases)underwent high ligation and the obser-vation group(43 cases)underwent low ligation.Perioperative indexes,sperm quality,complications and sexual func-tion were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the amount of blood loss during operation,the Visual Analog Scale score 3 days after operation and the length of hospital stay were better than those of the control group,the differences were statistically significant(all P<0.05).There were no statistically significant differences in total sperm count,concentration and survival rate be-tween two groups before surgery(all P>0.05).The comparison of above sperm quality related indicators between the two groups after surgery showed that the observation group was better than the control group,and the differences were statistically significant(all P<0.05).The total incidence of postoperative complications in the observation group was 4.65%,which was lower than 18.60%in the control group,and the difference was statistically significant(χ2=4.074,P<0.05).There was no statistically significant difference in preoperative testosterone and international erectile function scores between the two groups(P>0.05).After operation,the sexual function scores of the observation group were bet-ter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion For VC pa-tients,microscopically low spermatic vein ligation has a good application prospect,which can not only reduce postop-erative pain,accelerate recovery,but also improve sperm quality,effectively improve patients'sexual function,and re-duce postoperative complications,which is worthy of clinical reference.
MicroscopeLow ligation of spermatic veinTreatment of varicoceleSexual function
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