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Review of current varicocelectomy techniques and their outcomes
Paul Diegidio1, Jay K Jhaveri, Suzanne Ghannam
1Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
Objectives:
• To review all the various techniques and their results and efficiencies to provide practicing urologists with some guidance for choice of technique • To discuss improvements of varicocelectomy techniques in the last 15 years and their impact on results of surgery.
Patients And Methods:
• A PubMed English literature review of literature from 1995 to present.
Results:
• Pregnancy rates were highest with microsurgical subinguinal technique • Varicocele recurrence rates were lowest with microsurgical subinguinal technique • Hydrocele formation rates were lowest with microsurgical inguinal technique • Surgical complications were highest in the laparoscopic technique • Varicocelectomy by itself or in conjunction with IVF is cost effective
Conclusions:
• Microsurgical subinguinal or microsurgical inguinal techniques offer best outcomes • Varicocelectomy is a cost effective treatment modality for infertility • Further research is needed to explore new developments in varicocelectomy.
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