The Safety of Microsurgical Subinguinal Varicocelectomy Without the Ultrasound Guiding
Objective:To observe the safety and outcomes of microsurgical subinguinal varicocelectomy without the guide of ultrasound. Methods:From January 2013 to December 2022,101 patients with left side varicocele who underwent microsurgical subinguinal varicocelectomy without the guide of ultrasound. The follow-up range:2 to 12 months. Results:The hospital stay was 2 or 3 days,average operative time was (95.0±13.5)min. During the operation,we found 1 testicular artery in 35.6％ of the patients,2 testicular arteries in 53.5％ and 3 testicular arteries in 10.9％. At follow-up,postoperative recurrency rate was 1％,none of the patients had developed hydrocele,testicular atrophy,or other postoperative complications. The rate of testicular pain relieved was 100％ (7 cases). In the infertility cases (total 74 cases,and 66 cases get effective semen specimens in the follow-up ),semen concentration improvement rate was 68.2％,forward sperm improvement rate was 65.2％,and semen total improvement rate was 84.8％,semen return to normal was 22.7％. The difference of semen improvement was not statistically significant (P>0.05) between the patients who were found 1 testicular artery and more. Conclusion:Our study preliminarily indicate microsurgical subinguinal varicocelectomy without the guide of ultrasound is safe and feasible.
万方数据
维普
