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ISSN 2305-7939 (Electronic)

2022, Number 1

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RCU 2022; 11 (1)

Microsurgical and conventional correction of varicocele. Comparison of its results in infertile patients

Baños HI, Forteza CM, Bacallao SN, Rivera FM, de Armas AI

Language: Spanish
References: 13
Page: 14-24
PDF size: 794.66 Kb.


ABSTRACT

Introduction: Varicocele is the surgically correctable cause that most often causes infertility in men. Multiple techniques have been used for its correction, from conventional open surgery to microsurgery.
Objective: Describe the main results obtained with microsurgical varicocelectomy and compare these with different conventional techniques.
Method: Quasi-experimental study, with historical controls in different centers of the province of Pinar del Río, between 2008 - 2020. The results of amplified varicolectomy with surgical glasses were compared with those obtained with Palomo and conventional subinguinal techniques.
Results: Hydrocele was the most frequent of all complications, with a total of 26 patients. With microsurgery, it appeared in only two patients (4.1%) and with the conventional technique in 24 patients (15.7%). Epididymitis was not reported with the microsurgical technique and appeared in 13.7% of patients with the traditional approach. Wound-related complications occurred in 6.1% and 4.6% of those operated on, whom underwent microsurgical and conventional varicocelectomy respectively. The persistence of varicocele showed no differences between the two techniques. With microsurgical varicocelectomy, improvement of semen parameters was achieved in 81.60% of patients and pregnancy in 34.70% of couples.
Conclusions: Microsurgical varicocelectomy guarantees superior results to conventional techniques in terms of seminal parameters, the number of pregnancies and the reduction of postoperative complications.


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