Is Microsurgery Necessary in Grade 3 Varicocele?

PURPOSE: To compare the results of microsurgical and naked eye varicocelectomy in patients with grade 3 varicocele.MATERIALS AND METHODS: This study was conducted on 84 patients with grade 3 varicocele, between 2007 and 2009. Patients were randomized into two groups, equal in number. Thereafter, mic...

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Main Authors: Mehmet Kalkan, Soner Yalcinkaya, Omer Etlik, Coşkun Sahin
Format: Article
Language:English
Published: Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences 2011-11-01
Series:Urology Journal
Subjects:
Online Access:http://www.urologyjournal.org/index.php/uj/article/view/1238/604
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author Mehmet Kalkan
Soner Yalcinkaya
Omer Etlik
Coşkun Sahin
author_facet Mehmet Kalkan
Soner Yalcinkaya
Omer Etlik
Coşkun Sahin
author_sort Mehmet Kalkan
collection DOAJ
description PURPOSE: To compare the results of microsurgical and naked eye varicocelectomy in patients with grade 3 varicocele.MATERIALS AND METHODS: This study was conducted on 84 patients with grade 3 varicocele, between 2007 and 2009. Patients were randomized into two groups, equal in number. Thereafter, microsurgical varicocelectomy was performed in the first group, while the other group underwent naked eye varicocelectomy. Groups were compared in terms of operation duration, number of ligated internal and external spermatic veins, early and late postoperative complications, and postoperative color Doppler ultrasonography findings. Parametric and nonparametric values were compared using Student’s t test and Chi-Square test, respectively.RESULTS: The mean duration of surgery was 19 ± 2.3 minutes (range, 12 to 25 minutes) in the naked eye surgery group and 43 ± 3.9 minutes (range, 25 to 75 minutes) in the microsurgery group (P = .008). The number of ligated internal and external spermatic veins, the incidence of early and late postoperative complications, and color Doppler ultrasonography findings were not significantly different between the two groups (P = .12, P = .09, P = .17, and P = .22, respectively).CONCLUSION: In patients with grade 3 varicocele, microsurgery and naked eye surgical methods proved similar results in terms of success and complications. Because the operation time of the classical varicocelectomy is significantly shorter, it may be preferred in this subset of patients.
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spelling doaj.art-4325a0e7049e4d16a9d4dca7c9f224942022-12-21T20:19:04ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2011-11-0184298301Is Microsurgery Necessary in Grade 3 Varicocele?Mehmet KalkanSoner YalcinkayaOmer EtlikCoşkun SahinPURPOSE: To compare the results of microsurgical and naked eye varicocelectomy in patients with grade 3 varicocele.MATERIALS AND METHODS: This study was conducted on 84 patients with grade 3 varicocele, between 2007 and 2009. Patients were randomized into two groups, equal in number. Thereafter, microsurgical varicocelectomy was performed in the first group, while the other group underwent naked eye varicocelectomy. Groups were compared in terms of operation duration, number of ligated internal and external spermatic veins, early and late postoperative complications, and postoperative color Doppler ultrasonography findings. Parametric and nonparametric values were compared using Student’s t test and Chi-Square test, respectively.RESULTS: The mean duration of surgery was 19 ± 2.3 minutes (range, 12 to 25 minutes) in the naked eye surgery group and 43 ± 3.9 minutes (range, 25 to 75 minutes) in the microsurgery group (P = .008). The number of ligated internal and external spermatic veins, the incidence of early and late postoperative complications, and color Doppler ultrasonography findings were not significantly different between the two groups (P = .12, P = .09, P = .17, and P = .22, respectively).CONCLUSION: In patients with grade 3 varicocele, microsurgery and naked eye surgical methods proved similar results in terms of success and complications. Because the operation time of the classical varicocelectomy is significantly shorter, it may be preferred in this subset of patients.www.urologyjournal.org/index.php/uj/article/view/1238/604varicoceleinfertilitymicrosurgerypostoperative complications
spellingShingle Mehmet Kalkan
Soner Yalcinkaya
Omer Etlik
Coşkun Sahin
Is Microsurgery Necessary in Grade 3 Varicocele?
Urology Journal
varicocele
infertility
microsurgery
postoperative complications
title Is Microsurgery Necessary in Grade 3 Varicocele?
title_full Is Microsurgery Necessary in Grade 3 Varicocele?
title_fullStr Is Microsurgery Necessary in Grade 3 Varicocele?
title_full_unstemmed Is Microsurgery Necessary in Grade 3 Varicocele?
title_short Is Microsurgery Necessary in Grade 3 Varicocele?
title_sort is microsurgery necessary in grade 3 varicocele
topic varicocele
infertility
microsurgery
postoperative complications
url http://www.urologyjournal.org/index.php/uj/article/view/1238/604
work_keys_str_mv AT mehmetkalkan ismicrosurgerynecessaryingrade3varicocele
AT soneryalcinkaya ismicrosurgerynecessaryingrade3varicocele
AT omeretlik ismicrosurgerynecessaryingrade3varicocele
AT coskunsahin ismicrosurgerynecessaryingrade3varicocele