Abstract：Objective: To investigate the clinical effect of microsurgical varicocelectomy in the treatment of young men varicocele. Methods: We retrospectively analyzed the clinical data and postoperative follow-up of 32 varicocele patients treated by microsurgical varicocelectomy from 2012 to the end of 2015 in our hospital. Postoperative semen quality, improvement of symptoms and complications were observed. Results: Thirty-two cases of varicocele were operated successfully. Twenty-nine cases (90.62%) were followed up for 3 months to 12 months and 3 cases (9.38%) were lost to follow-up (including 1 case of infertile and 2 cases of testicular pain or discomfort). Testicular pain or discomfort disappeared in 8 (72.72%) of the 11 followed-up patients who had complained of such symptoms, as relieved in 2 (18.18%), and remained unimproved in the other 1 (9.09%). The 18 followed-up patients with infertility or oligo asthenospermia all showed significantly improved sperm concentration and motility at 6th month after operation. There was no occurrence of hydrocele of testis, testicular atrophy, acute epididymitis and postoperative recurrence. Postoperative complication of scrotum edema occurred in 1 case (3.44%), and symptoms were relieved by conservative treatment. Conclusions: Microsurgical varicocelectomy can effectively improve symptoms and semen parameters and gradually becomes an ideal means for the treatment of young men varicocele.
李茂林, 章静, 王治国, 卓栋. 显微外科治疗青年男性精索静脉曲张的疗效分析[J]. 微创泌尿外科杂志, 2017, 6(4): 248-251.
Li Maolin, Zhang Jing, Wang Zhiguo, Zhuo Dong. Efficacy of microsurgery in the treatment of young men varicocele. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2017, 6(4): 248-251.
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