Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study
Methods: We performed a non-randomized comparative trial that recruited infertile men with varicocele who were scheduled to undergo MSV. Eligible patients were allocated by the investigators in a 1:1 ratio to receive intraoperative Doppler (group I) or intraoperative Doppler plus hydrodissection (g...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-02-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/11008 |
| _version_ | 1797900237220610048 |
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| author | Salah E. Shebl Saadelddin Ali Ahmed El Gammal |
| author_facet | Salah E. Shebl Saadelddin Ali Ahmed El Gammal |
| author_sort | Salah E. Shebl |
| collection | DOAJ |
| description |
Methods: We performed a non-randomized comparative trial that recruited infertile men with varicocele who were scheduled to undergo MSV. Eligible patients were allocated by the investigators in a 1:1 ratio to receive intraoperative Doppler (group I) or intraoperative Doppler plus hydrodissection (group II).
Results: Sixty men were included in each group. The two study groups showed a comparable number of ligated veins on the right (4.22 ±1.57 versus 4.42 ± 1.65; p = 0.49) and left side (6.77 ± 2.14 versus 6.98 ± 2.29; p = 0.59). On the contrary, group II showed a significantly higher number of preserved arteries on the right (2.42 ± 0.56 versus 1.47 ±0.5 in group I) and left side (2.6 ± 0.53 versus 1.63 ± 0.55 in group I), with p-value < 0.001. The sperm motility was significantly higher in group II than in group I (21.25 ± 13.73 versus 13.85 ± 12.25, respectively; p = 0.002). In both groups, the sperm motility increased significantly at the end of follow-up compared to the preoperative period. The postoperative sperm mortality remained significantly higher in group II than in group I
(p = 0.008).
Conclusions: Intraoperative Doppler plus hydrodissection (D+IH-MSV) has advantages in preserving more arteries and enhancing the motility of sperms. Based on these findings, we strongly recommend D+IH-MSV when treating infertile men with varicocele.
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| first_indexed | 2024-04-10T08:42:47Z |
| format | Article |
| id | doaj.art-a981a9c6d4e24207a057012a86f68274 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-04-10T08:42:47Z |
| publishDate | 2023-02-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-a981a9c6d4e24207a057012a86f682742023-02-22T22:42:20ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972023-02-0110.4081/aiua.2023.11008Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative studySalah E. Shebl0Saadelddin Ali1Ahmed El Gammal2Urology Department, Faculty of Medicine for Girls, Al-Azhar University, CairoDermatology and Andrology Department, Al-Azhar University, CairoUrology Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo Methods: We performed a non-randomized comparative trial that recruited infertile men with varicocele who were scheduled to undergo MSV. Eligible patients were allocated by the investigators in a 1:1 ratio to receive intraoperative Doppler (group I) or intraoperative Doppler plus hydrodissection (group II). Results: Sixty men were included in each group. The two study groups showed a comparable number of ligated veins on the right (4.22 ±1.57 versus 4.42 ± 1.65; p = 0.49) and left side (6.77 ± 2.14 versus 6.98 ± 2.29; p = 0.59). On the contrary, group II showed a significantly higher number of preserved arteries on the right (2.42 ± 0.56 versus 1.47 ±0.5 in group I) and left side (2.6 ± 0.53 versus 1.63 ± 0.55 in group I), with p-value < 0.001. The sperm motility was significantly higher in group II than in group I (21.25 ± 13.73 versus 13.85 ± 12.25, respectively; p = 0.002). In both groups, the sperm motility increased significantly at the end of follow-up compared to the preoperative period. The postoperative sperm mortality remained significantly higher in group II than in group I (p = 0.008). Conclusions: Intraoperative Doppler plus hydrodissection (D+IH-MSV) has advantages in preserving more arteries and enhancing the motility of sperms. Based on these findings, we strongly recommend D+IH-MSV when treating infertile men with varicocele. https://www.pagepressjournals.org/index.php/aiua/article/view/11008Intraoperative Doppler; Hydrodissection; Magnified subinguinal varicocelectomy; Infertility; Varicocele. |
| spellingShingle | Salah E. Shebl Saadelddin Ali Ahmed El Gammal Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study Archivio Italiano di Urologia e Andrologia Intraoperative Doppler; Hydrodissection; Magnified subinguinal varicocelectomy; Infertility; Varicocele. |
| title | Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study |
| title_full | Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study |
| title_fullStr | Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study |
| title_full_unstemmed | Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study |
| title_short | Intraoperative hydrodissection and Doppler ultrasound during magnified varicocelectomy: A comparative study |
| title_sort | intraoperative hydrodissection and doppler ultrasound during magnified varicocelectomy a comparative study |
| topic | Intraoperative Doppler; Hydrodissection; Magnified subinguinal varicocelectomy; Infertility; Varicocele. |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/11008 |
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