Comparison of The Efficacy and Safety of Palomo, Ivanissevich and Laparoscopic Varicocelectomy in Iranian Infertile Men with Palpable Varicocele

International Journal of Fertility and Sterility

卷:12

Kamal Hosseini¹  Ali Kabir²  Masoumeh Nejatifar³ 

[1] Department of Urology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran;

[2] Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran;

[3] Shahid Beheshti University of Medical Sciences, Faculty of Public Health, Tehran, Iran;

关键词: infertility;    male;    semen analysis;    varicocele;   

DOI  :  10.22074/ijfs.2018.5158

来源: DOAJ

【 摘 要 】

BackgroundThis study aimed to compare the effects of three commonly used varicocelectomy techniquesnamely, open retroperitoneal ligation (Palomo), open inguinal ligation (Ivanissevich) and laparoscopy, inIranian infertile men. Materials and MethodsThis retrospective study was conducted on 70 infertile men with palpable varicocele whounderwent one of the varicocelectomy techniques namely, Palomo, Ivanissevich, or laparoscopy. Basic informationabout semen parameters were collected and registered prior to the surgery. Three months after the surgery, semenparameters and surgical complications were investigated in all patients.ResultsThe Palomo technique was significantly associated with fewer complications compared to other techniques(P=0.006). The means of sperm concentration, normal motility and normal morphology were significantly differentamong the three groups after surgery (P=0.025, 0.023 and 0.047, respectively); However, after adjustment for potential confounders, in addition to the baseline values of semen parameters, significant differences were observed onlyin sperm concentration among the groups (P=0.040).ConclusionVaricocelectomy improved sperm parameters. The Ivanissevich technique was more effective in improving sperm concentration compared to the laparoscopic method. The lowest rates of complications were related tothe Palomo technique.

【 授权许可】

Unknown