Varicocele Surgery: 10 Years of Experience in Two Pediatric Surgical Centers

Niyogi, Anindya; Singh, Shalini; Zaman, Azrina; Khan, Ayesha; Nicoara, Cezar Doru; Haddad, Munther; Madden, Nicholas; Clarke, Simon A.; Mathur, Azad; Tsang, Thomas; Kulkarni, Milind; Minocha, Ashish; DeCaluwe, Diane

doi:10.1089/lap.2011.0531

Cited by 6 publications

(2 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…13 The best results in VC surgery are associated with lowest recurrence rate and decreased complications. 15 Recurrence is defined as the presence of grade 2 or 3 VC after surgery, and the recurrence rates differ from 0.6% to 35.0% based on different surgical techniques used. 9 The use of loupe magnification or an operating microscope can contribute to the variations in the rates of VC recurrence, as the recurrence rates were observed to steadily decrease with increasing magnification, suggesting that microsurgical procedures may be correlated with a lower recurrence rate, compared with other approaches.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Treatment Outcomes of Different Spermatic Vein Ligation Procedures in Varicocele Treatment

Wang

Wei

et al. 2016

American Journal of Therapeutics

View full text Add to dashboard Cite

In this study, 4 different spermatic vein ligation procedures for varicocele (VC) treatment were compared based on recurrence rate, postoperative complications, and semen quality. Between January 2012 and May 2013, a total of 345 male patients with VC were recruited at The First Affiliated Hospital of Soochow University. Patients were performed by different ligation procedures, and they were divided into 4 groups: laparoscopic varicocelectomy group (LV group: n = 84), microscopic inguinal varicocelectomy group (MIV group: n = 85), microscopic retroperitoneal varicocelectomy group (MRV group: n = 86), and microscopic subinguinal varicocelectomy group (MSV group: n = 90). In MSV group, the operative time was 55 ± 6.9 minutes, which was significantly longer than LV, MIV, and MRV groups (P < 0.05). Recurrence rate in LV group was at 11.9%, the highest rate observed compared with the MIV, MRV, and MSV groups (P < 0.05). Scrotal edema and testicular atrophy in MSV group were markedly decreased (P < 0.05), and scrotal pain was relieved in almost all patients in the MSV group at a significantly higher rate than LV, MIV, and MRV groups (P < 0.05). Sperm concentration, sperm count of grades a + b, and sperm motility (%) in the MSV group were sharply higher than LV, MIV, and MRV groups (all P < 0.05). Our study indicates that MSV is the most beneficial of the 4 spermatic vein ligation procedures and may be offered as the first-line treatment for VC in infertile men.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Treatment Outcomes of Different Spermatic Vein Ligation Procedures in Varicocele Treatment

Wang

Wei

et al. 2016

American Journal of Therapeutics

View full text Add to dashboard Cite

show abstract

“…Bu çalışmada laparoskopik ve açık cerrahi arasında postoperatif rekürrens ve hidrosel gelişimi açısından istatistiksel olarak anlamlı bir fark saptanmamakla birlikte laparoskopik yaklaşımın aynı anda bilateral varikoselleri tedavi etme avantajına sahip olduğunu bildirmişlerdir. 2012'de yayınlanan başka bir makalede ise açık ve laparoskopik yapılan varikosellerin sonuçları karşılaştırılmış, istatistiksel olarak anlamlı olmasa da postoperatif hidrosel gelişimi ve rekürrens açısından açık operasyonun sonuçlarının daha iyi olduğu, özellikle arteri koruyan laparoskopik teknikte rekürrensin daha fazla olduğu vurgulanmıştır (51) . Erişkin literatürler gözden geçirildiğinde ise, subinguinal mikrocerrahi tekniğinin en düşük rekürrens ve hidrosel riskine sahip olduğu, dolayısıyla fertilitenin de yükseldiği teknik olarak raporlanmaktadır (52) .…”

Section: Varikosel Cerrahisinde Laparoskopinin Yeriunclassified

Laparoscopy in non-palpable testis and varicocele

Şencan¹,

Tanrıverdi²,

Yılmaz³

2016

tcdd

View full text Add to dashboard Cite

Günümüzde çocuk ürolojisi ile ilgili pek çok operasyon, minimal invaziv tekniklerle başarılı ve güvenilir bir şekilde yapılmaktadır. Bu girişimlerin büyük bir bölümü palpe edilemeyen testislere yöneliktir. Laparoskopi özellikle palpe edilemeyen testislerin tanısında ve lokalizasyonunun belirlenmesinde radyolojik görüntüleme yöntemlerine göre daha üstündür. Son zamanlarda intraabdominal yerleşimli testislerde bir veya iki aşamalı laparoskopik orşiopeksiler sıkça uygulanır hâle gelmiştir. Laparoskopinin çocuk ürolojisinde sık kullanıldığı diğer bir alan ise varikosel cerrahisidir. Varikosel cerrahisinde her ne kadar ideal teknik açısından ortak bir fikir birliği olmasa da laparoskopik varikosel cerrahisinin sonuçları diğer tekniklerle karşılaştırılabilir niteliktedir. Sonuç olarak, laparoskopi, gerek palpe edilemeyen testislerde, gerekse de varikosel cerrahisinde sıkça tercih edilen etkin ve güvenilir bir girişimdir.

show abstract

Varicocele

Al-Salem¹

2020

Atlas of Pediatric Surgery

View full text Add to dashboard Cite

Varicocele Surgery: 10 Years of Experience in Two Pediatric Surgical Centers

Abstract: The best results of varicocele surgery in terms of recurrence and postoperative hydrocele were achieved by open mass ligation; however, larger prospective studies are warranted.

Cited by 6 publications

References 35 publications

Comparison of Treatment Outcomes of Different Spermatic Vein Ligation Procedures in Varicocele Treatment

Comparison of Treatment Outcomes of Different Spermatic Vein Ligation Procedures in Varicocele Treatment

Laparoscopy in non-palpable testis and varicocele

Varicocele

Contact Info

Product

Resources

About