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KMID : 0356420080260030142
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Journal of Korean Andrology
2008 Volume.26 No. 3 p.142 ~ p.146
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Effect of Microsurgical Bilateral Varicocelectomy on Patients with a Left Varicocele Diagnosed by Color Doppler Ultrasonography
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Choi Man-Soo
Kim Sang-Deuk
Park Jung-Sun
Kim Myung-Ki
Park Jong-Kwan
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Abstract
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Purpose: The objective of this study was to evaluate the accuracy of color Doppler ultrasonography (CDU) and to assess the effects of microsurgical bilateral varicocelectomy on patients diagnosed with a left varicocele by CDU.
Materials and Methods: 69 patients with varicocele were enrolled between March 2005 and May 2007. The patients were randomized into 2 groups: group I-preoperative bilateral varicoceles were diagnosed by color CDU, and group II-only a left varicocele was diagnosed by CDU. All patients underwent an inguinal microsurgical varicocelectomy bilaterally. Statistical analysis was performed by paired Student’s t-test and one way ANOVA.
Results: Mean age of the patients was 27.5±7.9 years. After surgery, semen parameters were significantly improved in sperm number in group I (p=0.002) and semen volume in group II (p<0.005). At the time of surgery, we found that 16 (88.9%) of 18 patients had bilateral varicoceles in group II. The accuracy of CDU to diagnose varicoceles was not perfect.
Conclusions: The bilateral microsurgical varicocelectomy in patients with only a left varicocele diagnosed by CDU significantly increased their semen volume. Most (88.9%) patients diagnosed with a left varicocele actually had bilateral varicoceles. Therefore, microsurgical bilateral varicocelectomy may be appropriate for infertile men with a left varicocele diagnosed by CDU.
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KEYWORD
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Varicocele, Color Doppler ultrasonography (CDU), Bilateral Varicocelectomy
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