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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2008 December;21(6):315-8
Inguinal varicocele: a pathogenic treatment for a vascular pathology
Cardia G. 1, Catalano G. 2, Pugliese D. 3, Cianci V. 4, Memeo R. 2, De Fazio M. 2
1 Department of Vascular Surgery DACTI University of Bari, Bari, Italy
2 Department of General Surgery and Liver Transplantation, DETO University of Bari, Bari, Italy
3 Department of Medicine, Polyclinic, Bari, Italy
4 Casa di Cura Santa Maria, Bari, Italy
Aim. Many procedures have been developed for treatment of inguinal varicoceles, but none of them has obtained clear advantages. The resolution, together with the hemodynamics of spermatic veins and their role in infertility, sometimes remains a challenge. Based on the knowledge and experience of varicose veins surgery we proposed a combination of two previous methods of treatment, acting at the level of main reflux(high) and removing the dilated veins at the root of the scrotum, with the aim to eliminate any possible source of recurrence.
Methods. From January 2000 to May 2003 we treated 11 patients (mean age 21.8 years). All of them, after a clinical examination, ultrasound Doppler and spermiogram, underwent to this treatment. The same checks, clinical, hemodynamic by ultrasound and spermiogram, were evaluated at 6 months interval, and statistically analyzed by mean of Wilcoxon matched-pairs signed-ranks test, valid for small group of data.
Results. The only value near to the significance was the number of spermatozoa/ml (P<0.0625).
Conclusion. On the basis of the clinical and hemodynamics results, along with the clear physiopathologic premises, we think our approach is valid, and we hope the increase in the sample could better confirm this opinion.