[Choice of surgical method in the treatment of varicocele]

The data are presented on 788 patients with varicocele and impairment of spermatogenesis. All the patients were divided into two groups. Group 1 consisted of 240 patients not examined with ultrasound dopplerography who had undergone Ivanissevich operation with estimation of spermatogenesis before and 12 months after the operation. Improvement on the spermatograms was observed in 167 of 227 (73%) patients. Group 2 consisted of 548 patients. Hemodynamic alterations were examined in 342 (62.4%). After this examination they were operated by Ivanissevich. Improvement of spertmatogenesis was achieved in 285 (90.4%) patients. Sapheno-testicular intervenous anastomoses were established in 183 patients. 168 (92%) of them improved spermatogenesis. Recurrences were detected in 19 (8%) and 10 (5.4%) patients of groups 1 and 2, respectively. The above treatment policy promoted recovery of sperm fertility in operated patients and makes recurrences less frequent.