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A Journal on Surgery

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Chirurgia 1999 June;12(3):205-8

language: Italian

Microsurgical drainage for idiopathic varicocele. Long term results of the first 100 cases

Flati G., La Pinta M., Talarico C., Porowska B., Flati D., Carboni M.


Background. The long term results of microsurgical shunts for idiopathic varicocele have been reported in the present paper.
Methods. Ninety-seven patients for a total of 100 varicocele (three were bilateral) were followed from 6 months up to 10 years. Pre- and postoperative ultrasonographic evaluation of varicocele size was considered of great importance in order to reduce the bias of subjective clinical diagnosis and thus achieve a standardized, objective and documentable follow-up. Microsurgical shunts were tailored to the type of reflux: renospermatic (77%), iliospermatic (11%) or mixed type (12%).
Results. 94% patients experienced a complete morphologic disappearence of varicosities while in 6% of the cases a consistent reduction of size was objectified although varicosities were still detectable at ultrasonographic examination.
Conclusions. In patients with severe infertility a significant increase of seminal parameters was observed postoperatively and this improvement showed a higher statistical significance in patients aged <30 years.

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