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- W2033762007 abstract "To compare short term outcomes on sperm parameters following surgical versus embolization varicocelectomy. A retrospective analysis of patients (pts) was performed following varicocele repair surgically via microsurgical inguinal varicocelectomy (Sx) or by embolization (Emb). Semen analysis (S/A) prior to treatment and at 3 and 6 months following repair were evaluated. Primary outcome was change in the total motile sperm count (TMC= ejaculate volume x concentration of sperm x motile fraction). Comparison within and between treatment groups at baseline, 3 and 6-months following treatment was performed using paired and independent T-tests. 56 pts initially evaluated, 28 were in each group. See attached table for S/A results and results of comparisons within treatment groups. Baseline S/A was comparable inboth groups, p=0.92. At 3 months there was a significant improvement in TMC in the Emb group compared to baseline (p=0.036) but not in the Sx group (p=0.45). Importantly, at 3 months 4 patients who initially were oligospermic became azoospermic in the Sx group (14.3%) compared to none in the Emb group. There was a significant difference in TMC between Emb and Sx groups at 3 months (p=0.04) but not at 6 months (p=0.27).Tabled 1Results of semen analyses and comparison within treatment groups.TMC ± SD (millions) at% increase ± SD atp value versus baseline atBaseline3 months6 months3 months6 months3 months6 monthsEmb12.1 ± 2320.7 ± 20.020.2 ± 25.8301 ±582285 ± 7010.0360.12Sx11.6 ± 15.510.4 ± 15.613.5 ± 15.681 ± 28885 ± 2080.450.04 Open table in a new tab Embolization offers better short-term outcomes (3-months) versus microsurgical varicocelectomy. By 6 months both the Emb and Sx groups had similar improvements in TMC. Delayed improvement following Sx may be explained by transient stress to the testis due to anesthesia and surgical procedure itself. These findings should be considered among couples planning IVF close to the time of varicocele repair." @default.
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- W2033762007 date "2009-02-01" @default.
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- W2033762007 title "Abstract No. 235: Short-Term Outcomes After Varicocele Repair by Embolization and Microsurgical Varicocelectomy: Implications for IVF Planning" @default.
- W2033762007 doi "https://doi.org/10.1016/j.jvir.2008.12.229" @default.
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