OBJECTIVE: To evaluate the effectiveness of microsurgical shunts for secondary varicocele repair after ligation-like procedures, focusing on long-term functional outcomes. DESIGN: Long-term survey (mean follow-up, 8.5 years) of infertile men after secondary microsurgical reconstructive varicocelectomy. SETTING: University-based medical center. PATIENT(S): Thirty-four infertile men (group A, 30 years) with recurrent palpable varicocele after varicocelectomy, according to Ivanissevich (n = 28), or after angiographic vein occlusion (n = 6). Ten patients presented bilateral recurrence. INTERVENTION(S): Microsurgical shunts between spermatic vein and inferior epigastric vein. MAIN OUTCOME MEASURE(S): Sperm count, pregnancy rate, and ultrasound evaluation of varicosity. RESULT(S): Complete disappearance of varicosity was achieved in 97.06% of patients, while in 2.94%, a consistent reduction in size was observed. In patients with severe infertility, a significant postoperative increase in seminal parameters was observed. Pregnancy rates were 43.75% in group A and 22.22% in group B. CONCLUSION(S): Microsurgical drainage in patients with recurrent varicocele after ligation-like procedures was shown to be an effective minimally invasive treatment, with immediate hemodynamic recovery of testicular venous outflow and excellent long-term results in patients with left or bilateral recurrences.

Improvement in the fertility rate after placement of microsurgical shunts in men with recurrent varicocele / Flati, Giancarlo; Porowska, Barbara; Flati, D.; Veltri, S.; Sportelli, Giuseppe; Carboni, M.. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - STAMPA. - 82:6(2004), pp. 1527-1531. [10.1016/j.fertnstert.2004.04.063]

Improvement in the fertility rate after placement of microsurgical shunts in men with recurrent varicocele.

FLATI, Giancarlo;POROWSKA, Barbara;SPORTELLI, Giuseppe;
2004

Abstract

OBJECTIVE: To evaluate the effectiveness of microsurgical shunts for secondary varicocele repair after ligation-like procedures, focusing on long-term functional outcomes. DESIGN: Long-term survey (mean follow-up, 8.5 years) of infertile men after secondary microsurgical reconstructive varicocelectomy. SETTING: University-based medical center. PATIENT(S): Thirty-four infertile men (group A, 30 years) with recurrent palpable varicocele after varicocelectomy, according to Ivanissevich (n = 28), or after angiographic vein occlusion (n = 6). Ten patients presented bilateral recurrence. INTERVENTION(S): Microsurgical shunts between spermatic vein and inferior epigastric vein. MAIN OUTCOME MEASURE(S): Sperm count, pregnancy rate, and ultrasound evaluation of varicosity. RESULT(S): Complete disappearance of varicosity was achieved in 97.06% of patients, while in 2.94%, a consistent reduction in size was observed. In patients with severe infertility, a significant postoperative increase in seminal parameters was observed. Pregnancy rates were 43.75% in group A and 22.22% in group B. CONCLUSION(S): Microsurgical drainage in patients with recurrent varicocele after ligation-like procedures was shown to be an effective minimally invasive treatment, with immediate hemodynamic recovery of testicular venous outflow and excellent long-term results in patients with left or bilateral recurrences.
2004
Recurrent varicocele; infertility; microsurgical shunts
01 Pubblicazione su rivista::01a Articolo in rivista
Improvement in the fertility rate after placement of microsurgical shunts in men with recurrent varicocele / Flati, Giancarlo; Porowska, Barbara; Flati, D.; Veltri, S.; Sportelli, Giuseppe; Carboni, M.. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - STAMPA. - 82:6(2004), pp. 1527-1531. [10.1016/j.fertnstert.2004.04.063]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/235453
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