Category: Laparoscopic/ Robotic: Other

MP17-10 - Comparison of subinguinal microscopic and laparoscopic varicocelectomy

Sat, Sep 22
10:00 AM - 12:00 PM

Introduction & Objective : To compare subinguinal microscopic and laparoscopic varicocelectomy for patients with varicocele.


Methods : From June 2010 to June 2017, a total of 278 patients with varicocele were included in this study.There were 155 patients who underwent subinguinal microscopic varicocelectomy and 123 patients who underwent laparoscopic varicocelectomy.The incidence of complications, recurrence rate, the improvement rates of semen quality and pregnancy rates between the two groups were compared.


Results : For the subinguinal microscopic group(n=155),  patients’age ranged from 9 to 42 years old, including 13 cases of adolescents (ranged 9 to 14 years). There were 145 cases on the left side, 1 cases on the right side, 9 cases on both sides in this group. For the laparoscopic group(n=123) , patients’ age ranged from 10 to 39 years old, including 11 cases of adolescent(ranged 10 to 14 years ). There were 111 cases on the left side, 1 cases on the right side, 11 cases on both sides. These data between the two groups were not significant differences. The improvement rate of sperm density and sperm percentage of grade A in microscopic group was significantly higher than that of laparoscopic group(84.7% vs. 71.5%,P=0.03;67.9% vs. 51.4%,P=0.01, respectively).The incidence of complications, recurrence rate, spouse pregnancy rate of microscopic group vs. laparoscopic group were 1.29% vs. 5.69%(P=0.01), 1.94% vs. 7.50%(P=0.01), and 56.25% vs. 43.5%(P=0.03) , respectively.


Conclusions :  The effect of subinguinal microscopic varicocelectomy was superior to that of laparoscopic varicocelectomy.

Xiaoning Wang

doctor
First Affiliated Hospital of Gannan Medical University
Ganzhou, Not Applicable, China (People's Republic)