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- W1582888049 abstract "OBJECTIVE: We attempt to introduce this delicate procedure for patients with varicocele and highlight its benefit for infertile patients. MATERIALS AND METHODS: From September 1997 to September 1999, 56 patients with either infertility (36) or scrotal discomfort (20) who underwent subinguinal microsurgical varicocelectomy were reviewed. All patients were confirmed as having varicocele(s) by pre-operative color flow mapping. The Wilcoxon signed rank test was applied for comparison of sperm quality. . RESULTS: In total, 67 varicocelectomies were performed. Of the patients, 37(66.1%) were adults and 19(33%) were adolescents. In 36 infertile patients (64.3% of 57 patients), 8 had bilateral varicoceles. Oligospermial was noted in 8 of the 36 infertile patients (22.2%), 19 (52.8%) had asthenospermia, and 9 (25%) had oligoasthenospermia. In 20 patients (35.7%) who had a painful varicocele, 3 had bilateral varicoceles. Post-operative improvements in sperm count, motility, and morphology of sperm were seen in 29 (80.5), 29 (80.5) and 24(66.7) patients, respectively. Following the procedure, sperm increment rates were 73.4 in count, 86.7% in motility, and 84.6% in morphology. However, the recurrence rate was only 3% (2/67). Other associated complications included hematoma 1.5%, persistent scrotal pain 1.5%, and superficial wound infection 1.5%.CONCLUSIONS: Subinguinal microsurgical varicocelectomy is a delicate procedure that can preserve the testicular artery and lymphatics. In addition to low complication and recurrence rates, its improvements in sperm parameters are promising. This procedure should be considered particularly for infertile patients with varicocele." @default.
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- W1582888049 date "2001-06-01" @default.
- W1582888049 modified "2023-10-09" @default.
- W1582888049 title "Subinguinal Microsurgical Varicocelectomy Under a Diagnosis of Color Flow Mapping：A Delicate and Effective Procedure for Varicocele" @default.
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- W1582888049 doi "https://doi.org/10.7024/juaroc.200106.0091" @default.
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