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2009 | 4 | 2 | 203-207
Tytuł artykułu

Distant 10 years results of laparoscopic operative treatment in patients with varicocele

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Varicocele has been regarded a curable cause of infertility for dozens of years. The impact of varicocele treatment in terms of increase in pregnancy rates is a debated issue. We evaluate data from a 10-year cohort of results from laparoscopic operative treatment of varicocele patients according to pregnancy rate, complication rate, and satisfaction with varicocele repair. Ninety seven patients were treated by means of laparoscopy between 1993 and 1996. Ten years after operation questionnaires were sent to all patients. Answers were obtained from 49/97 pts. (50,5%). Details connected with marital status, pregnancy rate, addictions and scrotal pain discomfort were collected. Statistical analysis was performed using chi-square independence test and Spearman’s rank correlation coefficient. After 10 years, 75.5% who answered the questionnaire were fully satisfied with the results of treatment, 12.3% pts of patients were partially satisfied; 63.3% of patients fathered 1 to 3 children. Married patients and those who fathered children were found to be the most satisfied with the operation. We also found the statistically significant negative dependency between smoking addiction and number of children. There were no major complications intra- or postoperatively. No harmful consequences of testicular artery ligation were found. In conclusion, long-time 10 years follow-up enables better estimation of the results of laparoscopic treatment in patients with varicocele. Pregnancy rate may depend not only on varicocele repair but on smoking addiction as well. There is still no evidence of harmful consequences due to testicular artery ligation after varicocele repair
Wydawca

Czasopismo
Rocznik
Tom
4
Numer
2
Strony
203-207
Opis fizyczny
Daty
wydano
2009-06-01
online
2009-03-27
Twórcy
  • Department of Urology, Medical University, 90-549, Łódź, Poland, zby_szek@tlen.pl
  • Department of Urology, Medical University, 90-549, Łódź, Poland
  • Department of Urology, Medical University, 90-549, Łódź, Poland
  • Department of Urology, Medical University, 90-549, Łódź, Poland
  • Department of Urology, Medical University, 90-549, Łódź, Poland
Bibliografia
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  • [8] Jabłonowski Z., Miękoś E., Różański W., Estimation of testis volume in patients with varicocele treated by laparoscopic operation, Arch. Med. Sci., 2005, 1, 163–166
  • [9] Ficarra V., Cerruto M.A., 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, 258–263 http://dx.doi.org/10.1016/j.eururo.2005.11.023[Crossref]
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  • [14] Karatepe O., Altiok M., Battal M., Adas G., Gülcicek O.B., Acet E., et al., Agenesis of the gallbladder as a rare misdiagnosis, Cent. Eur. J. Med. 2009; (in press) [WoS]
  • [15] Erman-Vlahović M., Habek D., Vlahović I., Vuković Bobić M., Pseudoacute abdomen in female caused by haematometrocolpos and haematosalpinx because hymen imperforatus: diagnosis and therapy of imperforate hymen. Cent. Eur. J. Med., 2007, 2, 351–355. http://dx.doi.org/10.2478/s11536-007-0027-1[WoS][Crossref]
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  • [20] Atassi O., Kass E.J., Steinert B.W., Testicular growth after successful varicocele correction in adolescents: comparison of artery sparing techniques with the Palomo procedure, J. Urol., 1995, 153, 482–483 http://dx.doi.org/10.1097/00005392-199502000-00065[Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0083-1
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