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

Copyright © 1999 EDIZIONI MINERVA MEDICA

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.


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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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