Inguinal microsurgical varicocelectomy
and testicular biopsy procedures were performed in all patients.
Post-op fever and wound infection were seen each in 12% of patients, 3 of whom had undergone extracorporeal anastomoses, 1 splenectomy, 1 gossypiboma excision and 1 varicocelectomy
Varicocele size and results in varicocelectomy
in selected subfertile men with varicocele.
Lacerda and colleagues (2011) conducted a prospective study that looked at sperm function in the form of DNA integrity and mitochondrial activity after varicocelectomy
in adolescents 14 to 19 years of age.
Willis, "Beneficial effect of microsurgical varicocelectomy
on human sperm DNA integrity," Human Reproduction, vol.
On the contrary, no difference in levels of seminal products of lipid degradation (MDA) was observed in adolescents (14-19 years old) subjected to subinguinal microsurgical varicocelectomy
, three months after surgery.
Because this study is epidemiologically designed for patients with varicocele, the effects of varicocelectomy
were not investigated.
The patients were not included in the study if any of the following conditions were present: history of varicocelectomy
, surgery for undes-cended testes (UDT), testicular torsion/ detortion (by operation or spontaneously), testicular biopsy, sexually transmitted diseases, testicular cancer, vasectomy, testcular trauma, history of anal sex, inguinal hernioraphy, immunosuppressed patients, use of immunosuppressive drugs, such as steroids or cytotoxic and chemopreventive drugs, and malnutrition.
Hallak, "The systematic use of intraoperative vascular Doppler ultrasound during microsurgical subinguinal varicocelectomy
improves precise identification and preservation of testicular blood supply," Fertility and Sterility, vol.
However, after undergoing microsurgical varicocelectomy
, testosterone levels significantly increased in 70 pc of the patients, with a mean increase of 178 ng/dL.
DNA damage in sperms was assessed before and after varicocelectomy
(3 months) by comet assay (9) (single cell gel electrophoresis) in all 11 patients and showed no significant difference in DNA damage levels at 3 months post-varicocelectomy (despite significant decline in ROS levels).
Question: patient underwent uneventful varicocelectomy
and was warned not to get out of bed.