A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy
Introduction: Varicocele is a treatable aetiology of male infertility. Magnification with surgical loupe has been associated with improved outcome and reduced morbidity than the conventional technique without magnification. Objective: To compare the outcomes of two techniques of subinguinal varicoce...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Nigerian Postgraduate Medical Journal |
| Subjects: | |
| Online Access: | http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=3;spage=218;epage=225;aulast=Okeke |
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| author | Chike John Okeke Rufus Wale Ojewola Emmanuel Ajibola Jeje Kehinde Habeeb Tijani Moses Adebisi Ogunjimi |
| author_facet | Chike John Okeke Rufus Wale Ojewola Emmanuel Ajibola Jeje Kehinde Habeeb Tijani Moses Adebisi Ogunjimi |
| author_sort | Chike John Okeke |
| collection | DOAJ |
| description | Introduction: Varicocele is a treatable aetiology of male infertility. Magnification with surgical loupe has been associated with improved outcome and reduced morbidity than the conventional technique without magnification. Objective: To compare the outcomes of two techniques of subinguinal varicocelectomy, with a surgical loupe and without. Patients and Methods: This was a prospective randomised hospital-based study. Forty-six patients were randomised to two arms – Group A: loupe-assisted subinguinal varicocelectomy (LASV) and Group B: open subinguinal varicocelectomy without Loupe (OSV). They all had their semen and hormonal parameters compared preoperatively and at 3 and 6 months postoperatively. Post-operative complications were also assessed. P < 0.05 was considered statistically significant. Results: The mean age was 38.28 ± 4.55 years with a range of 27–46 years. The mean age in Group A was 37.35 ± 4.68 and 39.22 ± 4.33 years in Group B. There was an improvement in motility, sperm count and concentration in both the groups at 3 and 6 months (P < 0.05). However, there was no difference in these parameters on comparison of the two groups at 3 and 6 months (P > 0.05). Follicle-stimulating hormone decline was significant in the OSV group at 3 and 6 months, P = 0.010 and 0.021, respectively. There was no difference in other hormonal parameters both at 3 and 6 months (P > 0.05). The pregnancy rate in each arm of study was 4.3%. All complications occurred in Group B. Conclusion: Both techniques resulted in improvement in seminal fluid parameters. All complications occurred in the arm that had subinguinal varicocelectomy without loupe. Loupe-assisted subinguinal varicocelectomy is safe and effective. |
| first_indexed | 2024-03-11T14:45:25Z |
| format | Article |
| id | doaj.art-75112d7575d34a01b19dbdd156f9b71c |
| institution | Directory Open Access Journal |
| issn | 1117-1936 2468-6875 |
| language | English |
| last_indexed | 2024-03-11T14:45:25Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Postgraduate Medical Journal |
| spelling | doaj.art-75112d7575d34a01b19dbdd156f9b71c2023-10-30T11:55:00ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752023-01-0130321822510.4103/npmj.npmj_39_23A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomyChike John OkekeRufus Wale OjewolaEmmanuel Ajibola JejeKehinde Habeeb TijaniMoses Adebisi OgunjimiIntroduction: Varicocele is a treatable aetiology of male infertility. Magnification with surgical loupe has been associated with improved outcome and reduced morbidity than the conventional technique without magnification. Objective: To compare the outcomes of two techniques of subinguinal varicocelectomy, with a surgical loupe and without. Patients and Methods: This was a prospective randomised hospital-based study. Forty-six patients were randomised to two arms – Group A: loupe-assisted subinguinal varicocelectomy (LASV) and Group B: open subinguinal varicocelectomy without Loupe (OSV). They all had their semen and hormonal parameters compared preoperatively and at 3 and 6 months postoperatively. Post-operative complications were also assessed. P < 0.05 was considered statistically significant. Results: The mean age was 38.28 ± 4.55 years with a range of 27–46 years. The mean age in Group A was 37.35 ± 4.68 and 39.22 ± 4.33 years in Group B. There was an improvement in motility, sperm count and concentration in both the groups at 3 and 6 months (P < 0.05). However, there was no difference in these parameters on comparison of the two groups at 3 and 6 months (P > 0.05). Follicle-stimulating hormone decline was significant in the OSV group at 3 and 6 months, P = 0.010 and 0.021, respectively. There was no difference in other hormonal parameters both at 3 and 6 months (P > 0.05). The pregnancy rate in each arm of study was 4.3%. All complications occurred in Group B. Conclusion: Both techniques resulted in improvement in seminal fluid parameters. All complications occurred in the arm that had subinguinal varicocelectomy without loupe. Loupe-assisted subinguinal varicocelectomy is safe and effective.http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=3;spage=218;epage=225;aulast=Okekecomplicationshormoneloupemagnificationoutcomesemenvaricocelectomy |
| spellingShingle | Chike John Okeke Rufus Wale Ojewola Emmanuel Ajibola Jeje Kehinde Habeeb Tijani Moses Adebisi Ogunjimi A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy Nigerian Postgraduate Medical Journal complications hormone loupe magnification outcome semen varicocelectomy |
| title | A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy |
| title_full | A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy |
| title_fullStr | A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy |
| title_full_unstemmed | A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy |
| title_short | A comparison of loupe-assisted and non-loupe-assisted subinguinal varicocelectomy |
| title_sort | comparison of loupe assisted and non loupe assisted subinguinal varicocelectomy |
| topic | complications hormone loupe magnification outcome semen varicocelectomy |
| url | http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=3;spage=218;epage=225;aulast=Okeke |
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