Treatment results of high-ligation surgery for varicoceles Hisanori Suzuki 1 , Masahisa Wajiki 1 , Yu Takeda 1 , Yoshiaki Kinebuchi 1 Keyword: 精索静脈瘤 , 手術療法 pp.81-85
Published Date 2018/1/20
DOI https://doi.org/10.11477/mf.1413206175
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In the period of January 2006 to December 2013, 18 patients who underwent high-ligation surgery for varicoceles were retrospectively evaluated for assessing therapeutic efficacy. At the first visit, the median age was 33 ± 7.4 years. In all cases, varicoceles were observed on the left side (both sides in 3 patients) with a varicocele grade I in 5 cases, grade II in 12 cases, and grade III in 4 cases.

Surgery was performed on the left-side in 16 and both-side in 2 cases. Median operation time was 53 ± 8.8 minutes (left enforcement n = 16). Therapeutic efficacy was observed in 17 patients (98%), and the postoperative complication of hydrocele of the testis occurred in only one case.

Semen examination of 14 male-infertility patients revealed improvement of the sperm concentration in 10 patients (71%), the exercise rate in 7 patients (50%). Pregnancy occurred in 7 patients (50%), and the birth of the child was achieved in 4 patients (29%) with the combination of assisted reproductive technology.

High ligation surgery for varicocele is demonstrated to be safe and effective. With respect to infertility treatment, a synergistic effect may occur by combining assisted reproductive technology with this operative procedure (Rinsho Hinyokika 72 : 81-85, 2018).

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