Efficacy of scroto-inguinal microsurgical varicocelectomy in treating male infertility

African Journal of Urology

Hoai Anh Vu¹  Hai Thanh Phan¹  Nhu Hien Pham¹  Thanh Xuan Nguyen¹  Du Vinh Nguyen²  Duc Anh Le³ 

[1] Department of Abdominal Emergency and Pediatric Surgery, Hue Central Hospital;Department of Assisted Reproduction – Andrology, Hue Central Hospital;Department of General Surgery, Hue Central Hospital;

关键词: Male infertility;    Varicocele;    Microsurgical varicocelectomy;   

DOI  :  10.1186/s12301-021-00141-1

来源: DOAJ

【 摘 要 】

Abstract Background Varicocele presents as the most frequent cause of infertility in men. Most reports showed that varicocelectomy has a significant impact on male fertility and reproductive outcome. This study aims to evaluate the safety and effectiveness of scrotal–inguinal microsurgical varicocelectomy in treating male infertility. Methods We prospectively studied preoperatively and postoperatively (at 3 and 6 months) 86 consecutive patients diagnosed with varicocele, abnormal semen parameters, and infertility, undergoing scrotal–inguinal microsurgical varicocelectomy. Semen test was performed before surgery and at 3 months and 6 months after surgery. The reproductive events were short-term followed up. Results The median age of the patient was 32.9 ± 5.1 (20–43). Two cases (2.7%) had a minor infection of the scrotum incision, who were well treated by appropriate antibiotics. After operation, total sperm count and the percentage of motile sperms at 3 months and 6 months were significantly higher than those pre-varicocelectomy, respectively. In total, 26.7% (23/86) of all couples achieved a spontaneous pregnancy. Late complications such as testicular atrophy, hydroceles, and recurrent varicocele have not occurred. Conclusions Scrotal–inguinal microsurgical varicocelectomy is an acceptable method in treating male infertility due to high rate of reproductive outcomes and very low rate of complications.

【 授权许可】

Unknown