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[Recurrence rate after varicocelectomy in infertile men]
Nevbahar Akçar Değirmenci1, Mehmet Turgut, Ragip Ozkan
1Osmangazi Universitesi Radyoloji Anabilim Dali, Eskişehir, Turkey.
Tanisal Ve Girisimsel Radyoloji : Tibbi Goruntuleme Ve Girisimsel Radyoloji Dernegi Yayin Organi
|July 6, 2004
Summary
Varicocele recurrence after surgery is common in infertile men, with 60% experiencing recurrence. Color Doppler ultrasonography is effective for detecting post-varicocelectomy varicocele in infertile patients.
Area of Science:
- Urology
- Reproductive Medicine
- Medical Imaging
Background:
- Varicocelectomy is a surgical treatment for varicocele, a common cause of male infertility.
- Recurrence of varicocele after surgical intervention can impact fertility outcomes.
- Assessing recurrence rates is crucial for understanding treatment efficacy and patient management.
Purpose of the Study:
- To determine the recurrence rate of varicocele in infertile men following varicocelectomy.
- To evaluate the utility of color Doppler ultrasonography in detecting post-surgical varicocele recurrence.
Main Methods:
- A cohort of 94 infertile patients who underwent varicocelectomy was studied.
- Twenty patients were specifically examined using color Doppler ultrasonography to assess for varicocele recurrence.
Main Results:
- A significant varicocele recurrence rate of 60% was observed in infertile men post-varicocelectomy.
- The average time to recurrence was five years, while patients without recurrence had a mean follow-up of seven years.
Conclusions:
- Color Doppler ultrasonography is a valuable diagnostic tool for evaluating infertile men after varicocelectomy.
- The high recurrence rate highlights the need for diligent follow-up and potentially further interventions in affected patients.