Clinic andlysis of varicocele in 810 cases

Abstract

Objectives To summarise the experiences in diagnosis and treatment of varicocele(VC).Methods 810 cases of ectoperitoneal ultra - selective high spermatic vein ligation via minimal skin incision were analysed retrospectively to study the interior diameters of spermatic vein,spermary volume,quality of sperm and the changes of sexual hormone before and after surgical treatment.Results In 5～10 days after operation,symptoms such as pain disappeared in 213 cases(63.7％).The average testicular volume in 511 L-VC patients is 16.5±2.8 ml (＜20ml).The interior diameter of spermatic vein＜1.8 mm in 714 Vc patients ( 88.1％),and the interior diameter of spermatic vein＞ 1.gmm in 96 Vc patients (11.9％).In 6 months after operation,the improvement rate on sperm density,average percentage of A + B level sperm activity,and sperm activity were 48.1％,57％and 61％ respectively.In 198 varicocele and infertile patients,there were 104 patients whose wife was pregnant from half year to 2years after operation,and the conception rate is 26.9％.Conclusions In VC patients suffering from male infertility and pain,operation needs to be considered.varicocele high ligation can significantly improve sperms - quality and lessen the pain.Ectoperitoneal ultra - selective high spermatic vein ligation via minimal skin incision has advantages of minimal invasiveness,safety,lower complication,and lower recurrence. Key words: Varicocele