Nephro-Urology Monthly

Published by: Kowsar

Outcome of loupe-Assisted Sub-inguinal Varicocelectomy in Infertile Men

Selim Abdelrahman 1 and Bayoumy Eassa 2 , *
Authors Information
1 Departments of Surgery, Al-Azhar University, Cairo, Egypt
2 Department of Dermatology, Venereology and Andrology, Al-Azhar University, Cairo, Egypt
Article information
  • Nephro-Urology Monthly: June 01, 2012, 4 (3); 535-540
  • Published Online: June 20, 2012
  • Article Type: Research Article
  • Received: June 14, 2011
  • Revised: September 7, 2011
  • Accepted: September 18, 2011
  • DOI: 10.5812/numonthly.1623

To Cite: Abdelrahman S, Eassa B. Outcome of loupe-Assisted Sub-inguinal Varicocelectomy in Infertile Men, Nephro-Urol Mon. 2012 ; 4(3):535-540. doi: 10.5812/numonthly.1623.

Abstract
Copyright © 2012, Nephrology and Urology Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
Acknowledgements
Footnotes
References
  • 1. Granados Loarca EA, Alcahe Gallimidi VR, Escobar Monzon C, Echevarria Solis JC, de Leon Lopez H, Echevarria Reyes J. [The assessment of varicocele by ultrasound]. Actas Urol Esp. 1999; 23(7): 579-82[PubMed]
  • 2. Pryor JL, Howards SS. Varicocele. Urol Clin North Am. 1987; 14(3): 499-513[PubMed]
  • 3. Stanković J, Bošnjaković P. Changes in sperm density caused by varicocele and their treatment by means of scleroembolization or high spermatic vein ligation. Medicine and Biology. 2006; 13(1): 15-8
  • 4. Segenreich E, Israilov S, Shmuele J, Niv E, Baniel J, Livne P. Evaluation of the relationship between semen parameters, pregnancy rate of wives of infertile men with varicocele, and gonadotropin-releasing hormone test before and after varicocelectomy. Urology. 1998; 52(5): 853-7[DOI][PubMed]
  • 5. Onozawa M, Endo F, Suetomi T, Takeshima H, Akaza H. Clinical study of varicocele: statistical analysis and the results of long-term follow-up. Int J Urol. 2002; 9(8): 455-61[DOI][PubMed]
  • 6. Baker HW, Burger HG, de Kretser DM, Hudson B, Rennie GC, Straffon WG. Testicular vein ligation and fertility in men with varicoceles. Br Med J (Clin Res Ed). 1985; 291(6510): 1678-80[DOI][PubMed]
  • 7. World Health Organization . Towards More Objectivity in Diagnosis and Management of Male Infertility: Results of a Word Health Organization Multicentre Study. Blackwell Scientific. 1987;
  • 8. Gat Y, Zukerman Z, Chakraborty J, Gornish M. Varicocele, hypoxia and male infertility. Fluid Mechanics analysis of the impaired testicular venous drainage system. Hum Reprod. 2005; 20(9): 2614-9[DOI][PubMed]
  • 9. Zorgniotti AW, Macleod J. Studies in temperature, human semen quality, and varicocele. Fertil Steril. 1973; 24(11): 854-63[PubMed]
  • 10. Yamaguchi M, Sakatoku J, Takihara H. The application of intrascrotal deep body temperature measurement for the noninvasive diagnosis of varicoceles. Fertil Steril. 1989; 52(2): 295-301[PubMed]
  • 11. Williams DH, Karpman E, Lipshultz LI. Varicocele: surgical techniques in 2005. Can J Urol. 2006; 13: 13-7[PubMed]
  • 12. Fowler C. Bailey and Love’s Short Practice of Surgery. 1999; : 999-1010
  • 13. Amaku E. Scrotum, Testis and Epididymis. 1994; : 830-41
  • 14. Cayan S, Shavakhabov S, Kadioglu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2009; 30(1): 33-40[DOI][PubMed]
  • 15. Ficarra V, Cerruto MA, Liguori G, Mazzoni G, Minucci S, Tracia A, et al. Treatment of varicocele in subfertile men: The Cochrane Review--a contrary opinion. Eur Urol. 2006; 49(2): 258-63[DOI][PubMed]
  • 16. Marmar JL, Agarwal A, Prabakaran S, Agarwal R, Short RA, Benoff S, et al. Reassessing the value of varicocelectomy as a treatment for male subfertility with a new meta-analysis. Fertil Steril. 2007; 88(3): 639-48[DOI][PubMed]
  • 17. Sayfan J, Adam YG, Soffer Y. A new entity in varicocele subfertility: the “cremasteric reflux”. Fertil Steril. 1980; 33(1): 88-90[PubMed]
  • 18. Murray RR Jr., Mitchell SE, Kadir S, Kaufman SL, Chang R, Kinnison ML, et al. Comparison of recurrent varicocele anatomy following surgery and percutaneous balloon occlusion. J Urol. 1986; 135(2): 286-9[PubMed]
  • 19. Grober ED, O'Brien J, Jarvi KA, Zini A. Preservation of testicular arteries during subinguinal microsurgical varicocelectomy: clinical considerations. J Androl. 2004; 25(5): 740-3[PubMed]
  • 20. Woodburne R. Essentials of Human Anatomy. 1978;
  • 21. Beck EM, Schlegel PN, Goldstein M. Intraoperative varicocele anatomy: a macroscopic and microscopic study. J Urol. 1992; 148(4): 1190-4[PubMed]
  • 22. Ergun S, Bruns T, Soyka A, Tauber R. Angioarchitecture of the human spermatic cord. Cell Tissue Res. 1997; 288(2):391(2): 391-8[DOI][PubMed]
  • 23. Jarow JP, Ogle A, Kaspar J, Hopkins M. Testicular artery ramification within the inguinal canal. J Urol. 1992; 147(5): 1290-2[PubMed]
  • 24. Hopps CV, Lemer ML, Schlegel PN, Goldstein M. Intraoperative varicocele anatomy: a microscopic study of the inguinal versus subinguinal approach. J Urol. 2003; 170(6 Pt 1): 2366-70[DOI][PubMed]
  • 25. Palomo A. Radical cure of varicocele by a new technique; preliminary report. J Urol. 1949; 61(3): 604-7[PubMed]
  • 26. Dubin L, Amelar RD. Varicocelectomy: twenty-five years of experience. Int J Fertil. 1988; 33(4): 226--8, 31-5[PubMed]
  • 27. Ivanissevich O. Left varicocele due to reflux; experience with 4,470 operative cases in forty-two years. J Int Coll Surg. 1960; 34: 742-55[PubMed]
  • 28. Goldstein M, Gilbert BR, Dicker AP, Dwosh J, Gnecco C. Microsurgical inguinal varicocelectomy with delivery of the testis: an artery and lymphatic sparing technique. J Urol. 1992; 148(6): 1808-11[PubMed]
  • 29. Naughton CK, Nangia AK, Agarwal A. Pathophysiology of varicoceles in male infertility. Hum Reprod Update. 2001; 7(5): 473-81[DOI][PubMed]
  • 30. SAYPOL DC. Varicocele. Journal of Andrology. 1981; 2(2): 61
  • 31. Ito H, Fuse H, Minagawa H, Kawamura K, Murakami M, Shimazaki J. Internal spermatic vein prostaglandins in varicocele patients. Fertil Steril. 1982; 37(2): 218-22[PubMed]
  • 32. Goldstein M, Eid JF. Elevation of intratesticular and scrotal skin surface temperature in men with varicocele. J Urol. 1989; 142(3): 743-5[PubMed]
  • 33. Cozzolino DJ, Lipshultz LI. Varicocele as a progressive lesion: positive effect of varicocele repair. Hum Reprod Update. 2001; 7(1): 55-8[DOI][PubMed]
  • 34. Goffette P, Hammer F, Mathurin P, Wese FX, Opsomer RJ, De Cooman S, et al. Recurrence of varicocele after spermatic vein embolization in young patients: radiological aspect. Acta Urol Belg. 1995; 63(2): 55-6[PubMed]
  • 35. Cornud F, Belin X, Amar E, Delafontaine D, Helenon O, Moreau JF. Varicocele: strategies in diagnosis and treatment. Eur Radiol. 1999; 9(3): 536-45[DOI][PubMed]
  • 36. Schlesinger MH, Wilets IF, Nagler HM. Treatment outcome after varicocelectomy. A critical analysis. Urol Clin North Am. 1994; 21(3): 517-29[PubMed]
  • 37. Watanabe M, Nagai A, Kusumi N, Tsuboi H, Nasu Y, Kumon H. Minimal invasiveness and effectivity of subinguinal microscopic varicocelectomy: a comparative study with retroperitoneal high and laparoscopic approaches. Int J Urol. 2005; 12(10): 892-8[DOI][PubMed]
  • 38. Steckel J, Dicker AP, Goldstein M. Relationship between varicocele size and response to varicocelectomy. J Urol. 1993; 149(4): 769-71[PubMed]
  • 39. Dhabuwala CB, Hamid S, Moghissi KS. Clinical versus subclinical varicocele: improvement in fertility after varicocelectomy. Fertil Steril. 1992; 57(4): 854-7[DOI][PubMed]
  • 40. Wagner L, Tostain J. [Varicocele and male infertility: AFU 2006 guidelines]. Prog Urol. 2007; 17(1): 12-7[DOI][PubMed]
  • 41. Hsieh ML, Chang PL, Huang ST, Wang TM, Tsui KH. Loupe-assisted high inguinal varicocelectomy for sub-fertile men with varicoceles. Chang Gung Med J. 2003; 26(7): 479-84[PubMed]
  • 42. Tung MC, Huang WJ, Chen KK. Modified subinguinal varicocelectomy for painful varicocele and varicocele-associated infertility. J Chin Med Assoc. 2004; 67(6): 296-300[PubMed]
  • 43. Matthews GJ, Matthews ED, Goldstein M. Induction of spermatogenesis and achievement of pregnancy after microsurgical varicocelectomy in men with azoospermia and severe oligoasthenospermia. Fertil Steril. 1998; 70(1): 71-5[DOI][PubMed]
  • 44. Penn I, Mackie G, Halgrimson CG, Starzl TE. Testicular complications following renal transplantation. Ann Surg. 1972; 176(6): 697-9[DOI][PubMed]
  • 45. Szabo R, Kessler R. Hydrocele following internal spermatic vein ligation: a retrospective study and review of the literature. J Urol. 1984; 132(5): 924-5[PubMed]
  • 46. Huang SS, Wu CF, Chen CS. Subinguinal Microsurgical Varicocelectomy Under a Diagnosis of Color Flow Mapping: A Delicate and Effective Procedure for Varicocele. J UROL ROC. 2001; 12(2): 91-5
  • 47. Kaufman SL, Kadir S, Barth KH, Smyth JW, Walsh PC, White RI Jr. Mechanisms of recurrent varicocele after balloon occlusion or surgical ligation of the internal spermatic vein. Radiology. 1983; 147(2): 435-40[PubMed]
  • 48. Marmar JL, DeBenedictis TJ, Praiss D. The management of varicoceles by microdissection of the spermatic cord at the external inguinal ring. Fertil Steril. 1985; 43(4): 583-8[PubMed]
  • 49. Abdel-Maguid AF, Othman I. Microsurgical and nonmagnified subinguinal varicocelectomy for infertile men: a comparative study. Fertil Steril. 2010; 94(7): 2600-3[DOI][PubMed]
  • 50. Kim ED, Leibman BB, Grinblat DM, Lipshultz LI. Varicocele repair improves semen parameters in azoospermic men with spermatogenic failure. J Urol. 1999; 162(3 Pt 1): 737-40[DOI][PubMed]
  • 51. Takahara M, Ichikawa T, Shiseki Y, Nakamura T, Shimazaki J. Relationship between grade of varicocele and the response to varicocelectomy. Int J Urol. 1996; 3(4): 282-5[DOI][PubMed]
  • 52. Shamsa A, Nademi M, Aqaee M, Fard AN, Molaei M. Complications and the effect of varicocelectomy on semen analysis, fertility, early ejaculation and spontaneous abortion. Saudi J Kidney Dis Transpl. 2010; 21(6): 1100-5[PubMed]
  • 53. Cayan S, Kadioglu A, Orhan I, Kandirali E, Tefekli A, Tellaloglu S. The effect of microsurgical varicocelectomy on serum follicle stimulating hormone, testosterone and free testosterone levels in infertile men with varicocele. BJU Int. 1999; 84(9): 1046-9[DOI][PubMed]
  • 54. Podesta ML, Gottlieb S, Medel R, Jr., Ropelato G, Bergada C, Quesada EM. Hormonal parameters and testicular volume in children and adolescents with unilateral varicocele: preoperative and postoperative findings. J Urol. 1994; 152(2 Pt 2): 794-7; discussion 8[PubMed]
  • 55. Takeyama M, Honjoh M, Kodama M, Sakaguchi H, Koh E, Kondoh N, et al. Testicular steroids in spermatic and peripheral veins after single injection of hCG in patients with varicocele. Arch Androl. 1990; 24(2): 207-13[DOI][PubMed]
  • 56. Wright EJ, Young GP, Goldstein M. Reduction in testicular temperature after varicocelectomy in infertile men. Urology. 1997; 50(2): 257-9[DOI][PubMed]
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