Articles Vol. 65 No. CĐ 4 - Hội Y học Giới tính Việt Nam 30/05/2024

23. EFFECTIVENESS AND SAFETY OF MICROSURGICAL VARICOCELECTOMY THROUGH 3 YEARS AT 19-8 HOSPITAL, MINISTRY OF PUBLIC SECURITY, FROM 2020 TO 2023

Nguyen Tran Thanh1,2, Tran Hoai Nam1,2, Dinh Ngoc Ha1,2, Mai Tien Dung1,2, Nguyen Huy Hieu1,2
1 19-8 Hospital, Ministry of Public Security
2 Bệnh viện 19-8, Bộ Công an
Corresponding author: dr.thanh198@gmail.com
DOI: 10.52163/yhc.v65iCD4.1172
25 Views
5 Downloads
Keywords
Varicocele, microsurgical varicocelectomy.
Abstract

Objectives: Description of the effectiveness and the safety of microsurgical varicocelectomy at 19-8 Hospital, Ministry of Public Security, from 2020 to 2023.

Methods: Descriptive, prospective follow-up study of a case series includes 160 patients that have undergone microsurgical varicocelectomy at 19-8 hospital, ministry of public security from 12/2020 to 12/2023.

Results: The mean age of patients was 23.81±5.91 years old. The proportion of scrotal pain was 96.9% and the figure of that varicose veins are palpable in the scrotum was 75%. The success and failure rate of this surgery were 96.25% and 3.75%, respectively. Before surgery, the diameters of the seminal veins before and after the Valsalva test were 2.93±0.54mm and 3.59±0.61mm, respectively. After surgery 3 months, these diameters remarkably decreased at 1.70 ± 0.54mm and 1.97 ± 0.54mm, with statistical significance p < 0.05. The semen chart after surgery improved significantly, in which the percentage of motile spermatozoa after surgery 3 months was 42.03 ± 12.55%, higher than the rate before surgery was 35.59 ± 11.53%, total sperm count after surgery was 192.003 ± 179.114 million that was increased in compared with the figure before surgery was 111.003 ± 134.468 million sperm, the sperm concentration before surgery was 30.81 ± 26.58 and this figure after 3 months increased to 47.30 ± 35.21.

Conclusion: Microsurgical varicocelectomy is a safe and effective method in the treatment of varicocele patients that have surgical indication.

References
[1]
Sunghyun P, Woo SC, Varicocele and Testicular Google Scholar
[2]
Pain: A Review. World J Mens Health, 37(1), Google Scholar
[3]
, 4-11. Google Scholar
[4]
Elzanaty S, Johansen C, Microsurgical Subinguinal Google Scholar
[5]
Varicocele Repair of Grade II-III Lesions Google Scholar
[6]
Associated with Improvements of Testosterone Google Scholar
[7]
Levels. Curr Urol. 2017;10(1):45-49. Google Scholar
[8]
Rossella Cannarella, Rupin Shah, Nguyen Google Scholar
[9]
Quang, Does Varicocele Repair Improve Google Scholar
[10]
Conventional Semen Parameters? A MetaAnalytic Google Scholar
[11]
Study Of Before-After Data. World J Google Scholar
[12]
Mens Health Published online June 22, 2023, Google Scholar
[13]
http://doi.org/10.5534/wjmh.230034 Google Scholar
[14]
Marc Goldstein Cigdem Tanrikut, Microsurgical Google Scholar
[15]
management of male infertility, Nature Clinical Google Scholar
[16]
Practice Urology; 3, 2006, 381-391. Google Scholar
[17]
Li F, Yue H, Yamaguchi K et al., Effect of Google Scholar
[18]
surgical repair on testosterone production in Google Scholar
[19]
infertile men with varicocele: a meta-analysis. J Google Scholar
[20]
Urol. 2012;19(2):149-54. Google Scholar
[21]
P Mirilas, A Mentessidou, Microsurgical Google Scholar
[22]
subinguinal varicocelectomy in children, Google Scholar
[23]
adolescents, and adults: surgical anatomy and Google Scholar
[24]
anatomically justified technique, J Androl. 33(3), Google Scholar
[25]
, 338-49. Google Scholar
[26]
Kun-Long Lv, Varicocele anatomy during Google Scholar
[27]
subinguinal microsurgical varicocelectomy Google Scholar
[28]
in Chinese men, Andrologia, 47, 2015 Google Scholar
[29]
CL Cho, SC Esteves, A Agarwal, Indications Google Scholar
[30]
and outcomes of varicocele repair, Panminerva Google Scholar
[31]
Med; 61(2), 2019, 152-163. Google Scholar
[32]
Mai Bá Tiến Dũng, Nguyễn Thành Như, Vi phẫu Google Scholar
[33]
cột tĩnh mạch tinh giãn hai bên ngả bẹn bìu ở trẻ Google Scholar
[34]
em tại Bệnh viện Bình Dân từ 2005 đến 2009, Google Scholar
[35]
Tạp chí Y học Việt Nam, Tập 375(Số 2 tháng Google Scholar
[36]
năm 2010), 165- 170. Google Scholar
[37]
Phạm Nam Việt, Phó Minh Tín, Lê Phúc Liên, Google Scholar
[38]
Đặc điểm giải phẫu mạch máu thừng tinh đoạn Google Scholar
[39]
trong ống bẹn qua mổ vi phẫu điều trị giãn tĩnh Google Scholar
[40]
mạch thừng tinh, Y học TP. Hồ Chí Minh. 15(1), Google Scholar
[41]
, 155-159. Google Scholar
[42]
Alaa Hamada, Sandro Esteves Ashok Agarwal, Google Scholar
[43]
Varicocele and Male Infertility: Current Google Scholar
[44]
Concepts, Controversies and Consensus, 2015. Google Scholar
[45]
SS Chen, WJ Huang, Differences in biochemical Google Scholar
[46]
markers and body mass index between patients Google Scholar
[47]
with and without varicocele, J Chin Med Assoc; Google Scholar
[48]
(4), 2010, 194-8. Google Scholar
[49]
Nguyễn Quang, Nguyễn Ngọc Sơn, Đặc điểm Google Scholar
[50]
chẩn đoán và kết quả điều trị giãn tĩnh mạch tinh Google Scholar
[51]
bằng thắt tĩnh mạch tinh vi phẫu tại bệnh viện Google Scholar
[52]
Việt Đức 6/2013-5/2014, Y học TP. Hồ Chí Google Scholar
[53]
Minh; 19(4), 2015, 177-181. Google Scholar
[54]
Nguyễn Hoài Bắc, Đinh Văn Toàn, Nguyễn Văn Google Scholar
[55]
Tuấn, Đánh giá kết quả vi phẫu thắt tĩnh mạch Google Scholar
[56]
tinh điều trị bệnh giãn tĩnh mạch tinh, Tạp chí Google Scholar
[57]
nghiên cứu y học; 122(6), 2019, 40-48. Google Scholar
[58]
Nguyễn Văn Thiết, Đánh giá kết quả vi phẫu Google Scholar
[59]
điều trị giãn tĩnh mạch tinh, Đề tài nghiên cứu Google Scholar
[60]
khoa học cấp cơ sở, 2017. Google Scholar
[61]
Nguyễn Hoài Bắc, Nguyễn Cao Thắng, Phạm Google Scholar
[62]
Minh Quân, Đánh giá hiệu quả của vi phẫu thắt Google Scholar
[63]
tĩnh mạch tinh trên các thông số tinh dịch đồ, Tạp Google Scholar
[64]
chí Nghiên cứu y học; 123(7), 2019, 164-171. Google Scholar