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首页> 外文期刊>African journal of urology >Efficacy of scroto-inguinal microsurgical varicocelectomy in treating male infertility
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Efficacy of scroto-inguinal microsurgical varicocelectomy in treating male infertility

机译：阴囊显微外科损伤术治疗男性不孕症的疗效

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Background:Varicocele presents as the most frequent cause of infertility in men. Most reports showed that varicocelectomy has a significant impact on male fertility and reproductive outcome. This study aims to evaluate the safety and effectiveness of scrotal–inguinal microsurgical varicocelectomy in treating male infertility.MethodsWe prospectively studied preoperatively and postoperatively (at 3 and 6?months) 86 consecutive patients diagnosed with varicocele, abnormal semen parameters, and infertility, undergoing scrotal–inguinal microsurgical varicocelectomy. Semen test was performed before surgery and at 3?months and 6?months after surgery. The reproductive events were short-term followed up.ResultsThe median age of the patient was 32.9?±?5.1 (20–43). Two cases (2.7%) had a minor infection of the scrotum incision, who were well treated by appropriate antibiotics. After operation, total sperm count and the percentage of motile sperms at 3?months and 6?months were significantly higher than those pre-varicocelectomy, respectively. In total, 26.7% (23/86) of all couples achieved a spontaneous pregnancy. Late complications such as testicular atrophy, hydroceles, and recurrent varicocele have not occurred.ConclusionsScrotal–inguinal microsurgical varicocelectomy is an acceptable method in treating male infertility due to high rate of reproductive outcomes and very low rate of complications.
机译：背景：Varicocele作为男性中最不孕症的最常见原因。大多数报道表明，Varicecelectomy对男性生育率和生殖结果产生重大影响。本研究旨在评估阴囊 - 腹股沟显微外科损伤术治疗男性不育症的安全性和有效性。术前和术后（3和6个月）前瞻性地研究了术前和术后，连续患者被诊断出患有Varicocele，异常精液参数和不孕症，接受阴囊 - 语义显微外科瓦里奇切除术。精液试验在手术前和3个月和6个月进行手术后进行。生殖事件短期随访。患者的中位年龄为32.9？±5.1（20-43）。两种病例（2.7％）对阴囊切口进行了轻微的感染，由适当的抗生素治疗。在操作后，3个月和6个月的3个月和6个月的总精子计数和运动百分比分别显着高于静脉曲张肌切除术。总共26.7％（23/86）所有夫妻都达到了自发的妊娠。诸如睾丸萎缩，水池和复发性瓦里奇胶等后的后期并发症尚未发生。结合腹股沟显微外科瓦氏切除术是一种可接受的方法，治疗雄性不孕症由于高生殖结果和并发症率非常低。

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