Abstract：
BACKGROUND: The subinguinal microsurgical varicocelectomy is considered as the gold standard surgical technique for the treatment of varicocele. The objective of this study is to evaluate the results of this technique on the resolution of pain and the parameters of sperm analysis.
METHODS: Single-center, retrospective study that includes 22 patients who have been operated over a period of six months for a clinically palpable varicocele via the microsurgical subinguinal technique. Nine patients were operated for pain and 13 patients for infertility with an abnormality of their sperm analysis.
RESULTS: All the patients operated for pain had a complete resolution of pain at the postoperative follow-up (3 months). Concerning the patients operated for infertility, 76.92% of the patients had a normal sperm analysis, 7.69% of the patients presented a partial improvement, and 15.39% of the patients without any improvement. Analysis of sperm\'s parameters at 3 months showed a significant improvement in the morphology (4.3% vs 6.69% of typical forms according to Kruger ; P<0.05) and mobility (progressive mobility 15.6% vs 23% postoperatively; P<0.01). A non-significant improvement (low sample) in the concentration was noted (21.58 million/mL preoperative vs 34.9 million/mL postoperative, P=0.08). Pregnancies are noted in 38.5% of patients. A postoperative complication was noted with surgical site infection resolved with antibiotics.
CONCLUSIONS: This single-center study confirms that the treatment of varicocele by subinguinal microsurgical route is an effective therapeutic strategy on symptomatic varicocele and in infertile men. This technique is associated with few complications.
METHODS:
METHODS: Single-center, retrospective study that includes 22 patients who have been operated over a period of six months for a clinically palpable varicocele via the microsurgical subinguinal technique. Nine patients were operated for pain and 13 patients for infertility with an abnormality of their sperm analysis.
RESULTS: All the patients operated for pain had a complete resolution of pain at the postoperative follow-up (3 months). Concerning the patients operated for infertility, 76.92% of the patients had a normal sperm analysis, 7.69% of the patients presented a partial improvement, and 15.39% of the patients without any improvement. Analysis of sperm\'s parameters at 3 months showed a significant improvement in the morphology (4.3% vs 6.69% of typical forms according to Kruger ; P<0.05) and mobility (progressive mobility 15.6% vs 23% postoperatively; P<0.01). A non-significant improvement (low sample) in the concentration was noted (21.58 million/mL preoperative vs 34.9 million/mL postoperative, P=0.08). Pregnancies are noted in 38.5% of patients. A postoperative complication was noted with surgical site infection resolved with antibiotics.
CONCLUSIONS: This single-center study confirms that the treatment of varicocele by subinguinal microsurgical route is an effective therapeutic strategy on symptomatic varicocele and in infertile men. This technique is associated with few complications.
METHODS:
摘要：
背景：腹股沟下显微手术精索静脉曲张切除术被认为是治疗精索静脉曲张的金标准手术技术。这项研究的目的是评估该技术对疼痛的分辨率和精子分析参数的结果。
方法：单中心，回顾性研究包括22例患者，这些患者在六个月的时间内通过显微外科腹股沟下技术进行了临床可触及的精索静脉曲张手术。9例患者因疼痛而接受手术，13例患者因精子分析异常而不孕。
结果：所有疼痛手术患者在术后随访（3个月）时疼痛完全缓解。关于不孕症手术的患者，76.92%的患者精子分析正常,7.69％的患者出现部分改善，15.39%的患者无任何改善。3个月时的精子参数分析表明，形态（根据Kruger的典型形态为4.3％vs6.69％；P<0.05）和活动性（术后进行性活动性15.6％vs23％；P<0.01）有显着改善。注意到浓度没有显着改善（低样品）（术前为2158万/mL，术后为3490万/mL，P=0.08)。38.5%的患者怀孕。注意到术后并发症，用抗生素解决了手术部位感染。
结论：这项单中心研究证实，通过腹股沟下显微手术途径治疗精索静脉曲张是对有症状的精索静脉曲张和不育男性的有效治疗策略。这种技术几乎没有并发症。
方法：
方法：单中心，回顾性研究包括22例患者，这些患者在六个月的时间内通过显微外科腹股沟下技术进行了临床可触及的精索静脉曲张手术。9例患者因疼痛而接受手术，13例患者因精子分析异常而不孕。
结果：所有疼痛手术患者在术后随访（3个月）时疼痛完全缓解。关于不孕症手术的患者，76.92%的患者精子分析正常,7.69％的患者出现部分改善，15.39%的患者无任何改善。3个月时的精子参数分析表明，形态（根据Kruger的典型形态为4.3％vs6.69％；P<0.05）和活动性（术后进行性活动性15.6％vs23％；P<0.01）有显着改善。注意到浓度没有显着改善（低样品）（术前为2158万/mL，术后为3490万/mL，P=0.08)。38.5%的患者怀孕。注意到术后并发症，用抗生素解决了手术部位感染。
结论：这项单中心研究证实，通过腹股沟下显微手术途径治疗精索静脉曲张是对有症状的精索静脉曲张和不育男性的有效治疗策略。这种技术几乎没有并发症。
方法：
