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

• Autorzy: Zbigniew Jabłonowski , Adam Grzegorczyk , Robert Kȩdzierski , Eugeniusz Miȩkoś , Marek Sosnowski
• 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

Słowa kluczowe

EN

Varicocele; Laparoscopy; Pregnancy rate; Complications; Distant results

• Czasopismo: Open Medicine
• Rocznik: 2009
• Tom: 4
• Numer: 2
• Strony: 203-207

Daty

wydano

2009-06-01

online

2009-03-27

Twórcy

autor

Zbigniew Jabłonowski

• Department of Urology, Medical University, 90-549, Łódź, Poland,

autor

Adam Grzegorczyk

• Department of Urology, Medical University, 90-549, Łódź, Poland

autor

Robert Kȩdzierski

• Department of Urology, Medical University, 90-549, Łódź, Poland

autor

Eugeniusz Miȩkoś

• Department of Urology, Medical University, 90-549, Łódź, Poland

autor

Marek Sosnowski

• Department of Urology, Medical University, 90-549, Łódź, Poland

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Identyfikatory

DOI

10.2478/s11536-008-0083-1