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KMID : 0356420080260030153
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Journal of Korean Andrology
2008 Volume.26 No. 3 p.153 ~ p.157
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Changes in Semen Parameters After Varicocelectomy: a Comparative Study of the Laparoscopic and Microsurgical Inguinal Approach
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Gil Myung-Chul
Shin Chan-Wook
Jo Jae-Wook
Kim Soo-Dong
Kang Do-Young
Chung Jae-Il
Jung Se-Il
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Abstract
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Purpose: The purpose of this study was to compare the surgical outcomes of two different surgical methods for varicocelectomy, and to assess the effects of varicocelectomy on semen parameters in subinfertile men.
Materials and Methods: This study included 63 patients with clinically palpable varicocele and abnormal semen parameters who underwent varicocelectomy. Thirty-three patients underwent laparoscopic varicocelectomy, and 30 received microsurgical inguinal varicocelectomy. Semen analyses were performed 5.3 months later, and compared with the pre-operative data.
Results: The mean age of patients was 32.1±1.3 years old. Comparison of the semen parameters between pre and post-varicocelectomy revealed significant improvement in the sperm count (p<0.05). In laparoscopic and microsurgical inguinal varicocelectomy, the sperm counts were increased from 16.2±4.3 to 30.6±7.5 and from 15.4±3.8 to 37.5±7.7, respectively. Sperm motility also tended to improve.
Conclusions: Varicocelectomy enhanced semen parameters after both laparoscopic and microsurgical
methods. In subfertile men, early varicocelectomy is recommended
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KEYWORD
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Cocoa extract, Corpus cavernosal tissue, Erectile function
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