A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy
We report the largest single-center experience with robotic-assisted microscopic varicocelectomy (RAMV) in male infertility. From August 2012 to February 2015, men with infertility of at least a year and varicoceles underwent RAMV by a single surgeon. Varicocele was diagnosed on physical examination...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Asian Journal of Andrology |
| Subjects: | |
| Online Access: | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2018;volume=20;issue=2;spage=189;epage=194;aulast=McCullough |
| _version_ | 1828786764839387136 |
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| author | Andrew McCullough Leon Elebyjian Joseph Ellen Clay Mechlin |
| author_facet | Andrew McCullough Leon Elebyjian Joseph Ellen Clay Mechlin |
| author_sort | Andrew McCullough |
| collection | DOAJ |
| description | We report the largest single-center experience with robotic-assisted microscopic varicocelectomy (RAMV) in male infertility. From August 2012 to February 2015, men with infertility of at least a year and varicoceles underwent RAMV by a single surgeon. Varicocele was diagnosed on physical examination and confirmed by ultrasound by a single ultrasonographer. Preoperative hormone panel, semen analyses, and testicular Doppler ultrasound were obtained from all men and repeated at 3 months. One hundred and forty consecutive men (258 varicocelectomies) were included. Mean age and duration of infertility was 36.4 and 2.8 years, respectively. Median total and free testosterone increased by 145 ng dl−1 and 4.3 pcg ml−1 (44.3%), respectively (P < 0.0001). Median sperm concentration increased by 37.3% (P < 0.03). Median sperm motility and morphology did not significantly change. Median left and right testicular volume increased by 22.3% (P < 0.0001) and 12.6% (P < 0.0006), respectively. Hydroceles occurred 0.8% of procedures. We had no testicular artery injuries. Persistence of varicocele by Doppler ultrasound was 9.6%. Only 37.3% of patients required pain medications postoperatively. We concluded that RAMV is a safe and effective alternative for varicocele repair with outcomes comparable to historical traditional microsurgical approach. |
| first_indexed | 2024-12-12T00:18:11Z |
| format | Article |
| id | doaj.art-5f7c5abc6da94290bead368e45848a20 |
| institution | Directory Open Access Journal |
| issn | 1008-682X 1745-7262 |
| language | English |
| last_indexed | 2024-12-12T00:18:11Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Andrology |
| spelling | doaj.art-5f7c5abc6da94290bead368e45848a202022-12-22T00:44:48ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622018-01-0120218919410.4103/aja.aja_45_17A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomyAndrew McCulloughLeon ElebyjianJoseph EllenClay MechlinWe report the largest single-center experience with robotic-assisted microscopic varicocelectomy (RAMV) in male infertility. From August 2012 to February 2015, men with infertility of at least a year and varicoceles underwent RAMV by a single surgeon. Varicocele was diagnosed on physical examination and confirmed by ultrasound by a single ultrasonographer. Preoperative hormone panel, semen analyses, and testicular Doppler ultrasound were obtained from all men and repeated at 3 months. One hundred and forty consecutive men (258 varicocelectomies) were included. Mean age and duration of infertility was 36.4 and 2.8 years, respectively. Median total and free testosterone increased by 145 ng dl−1 and 4.3 pcg ml−1 (44.3%), respectively (P < 0.0001). Median sperm concentration increased by 37.3% (P < 0.03). Median sperm motility and morphology did not significantly change. Median left and right testicular volume increased by 22.3% (P < 0.0001) and 12.6% (P < 0.0006), respectively. Hydroceles occurred 0.8% of procedures. We had no testicular artery injuries. Persistence of varicocele by Doppler ultrasound was 9.6%. Only 37.3% of patients required pain medications postoperatively. We concluded that RAMV is a safe and effective alternative for varicocele repair with outcomes comparable to historical traditional microsurgical approach.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2018;volume=20;issue=2;spage=189;epage=194;aulast=McCulloughmale infertility; reproductive technology; robot-assisted microsurgery; varicocele; varicocelectomy |
| spellingShingle | Andrew McCullough Leon Elebyjian Joseph Ellen Clay Mechlin A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy Asian Journal of Andrology male infertility; reproductive technology; robot-assisted microsurgery; varicocele; varicocelectomy |
| title | A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy |
| title_full | A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy |
| title_fullStr | A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy |
| title_full_unstemmed | A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy |
| title_short | A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy |
| title_sort | retrospective review of single institution outcomes with robotic assisted microsurgical varicocelectomy |
| topic | male infertility; reproductive technology; robot-assisted microsurgery; varicocele; varicocelectomy |
| url | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2018;volume=20;issue=2;spage=189;epage=194;aulast=McCullough |
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