| Minimally invasive approach for the treatment of idiopathic varicocele. | |
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MedLine Citation:
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PMID: 9109245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Laparoscopic ligation of the spermatic veins represents a new approach for the treatment of the idiopathic varicocele. This procedure was performed in 28 consecutive patients. The diagnosis was based on physical examination and Doppler ultrasonography. The indications for surgery were (a) infertility and abnormal semen analyses (15 patients), (b) scrotal pain (six patients), and (c) psychological reasons (seven patients). One patient underwent concomitant hernioplasty. Two cases presented with a recurrence after 6 and 12 months, respectively. The mean operative time was 34 +/- 11 min in unilateral cases and 47 +/- 9 min in bilateral cases. In one patient with left inguinal hernia and varicocele, the operative time was 70 min. All patients were discharged the day after operation without antibiotics and analgesics and resumed normal activity within 5 to 9 days, depending on age and occupation. Postoperative semen analyses (at 12 months' follow-up) were obtained from seven patients and demonstrated an improvement in semen motility (preoperative 40% versus postoperative 56%). This study confirms that laparoscopic treatment of varicocele is safe, minimally invasive, and, according to National Health Service fees, less costly than radiological occlusion procedures. |
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Authors:
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E Spaziani; G Silecchia; S Ricci; L Raparelli; A Materia; A Fantini; N Basso |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgical laparoscopy & endoscopy Volume: 7 ISSN: 1051-7200 ISO Abbreviation: Surg Laparosc Endosc Publication Date: 1997 Apr |
Date Detail:
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Created Date: 1997-06-24 Completed Date: 1997-06-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9107230 Medline TA: Surg Laparosc Endosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 140-3 Citation Subset: IM |
Affiliation:
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II Clinica Chirurgica, Policlinico Umberto I, Università degli Studi di Roma La Sapienza, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Follow-Up Studies Humans Infertility, Male / diagnosis, etiology, surgery Laparoscopy / methods* Ligation / methods Male Postoperative Period Prospective Studies Recurrence Safety Sperm Count Sperm Motility Spermatic Cord / blood supply Treatment Outcome Ultrasonography, Doppler Varicocele / complications, diagnosis, surgery* Veins / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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