2013, Number 1
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ABSTRACTIntroduction: varicocele is the most common isolated cause of infertility in male. Objectives: determine the efficacy and safety of the pigeon technique (PT) and single suprapubic access (SSA) in the correction of bilateral varicocele in infertile patients. Methods: a controlled and prospective study was carried out at random among patients that attended urology consultation in Comandante Manuel Fajardo Hospital and National institute of Endocrinology. Two groups were formed at random comparing the results of both techniques, while the patients were controlled for a period of 12 months. Result: the majority of the patients were between 30 and 39 years of age, with second grade varicocele. The surgical time of SSA was 19 minutes and the PT was an average of 29 minutes. The normalization of spermiogram occurred in 72% of the patients operated using TP and 73% in SSA. After one year of being operated, 50% of the patients operated by PT were able to impregnate while 52% of those operated by SSA also impregnated. Conclusion: the results were similar in both groups in spermiogram recuperations, pregnancies post operatives complications (hydrocele and varicocele). SSA is easier than PT, need less time and let a soon incorporations to the job too.
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