開腹式精索靜脈區張手術使用於男性不孕症患者結果討論-臺大醫院經驗
蘇彥榮1、張宏江1、謝汝敦2
1台大醫院新竹分院 泌尿部；2台大醫院泌尿部
Open subinguinal varicocelectomy for male infertility patients, national taiwan university hospital experience
Yann-Ron Su1, Hong-Chiang Chang1 , Ju-Ton Hsieh2
Department of Urology1, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan; Department of Urology2, National Taiwan University Hospital, Taipei, Taiwan.
Purpose: To investigate open subinguinal varicocelectomy for infertile male patients.
Materials and Methods: Open varicocelectomies were performed in 175 patients between January 2006 and December 2015 for male infertility. All varicoceles were detected clinically according to the World Health Organization (WHO) classification and confirmed by scrotal color Doppler ultrasonography.
Results: Unilateral open varicocelectomy was performed in 175 patients. Mean operative time was 44.2 ± 13.1 min. Neither immediate major nor late procedure-related complications were noted.
Among the 175 patients, 63 patients had both preoperative and postoperative semen analysis follow-up. The preoperative sperm concentration was 14.9 ± 14.8 (million/ ml) and post operation sperm concentration was 37.0 ± 26.0 (million/ ml). Preoperative sperm motility was 23.4 ± 13.8 (%) and post operation sperm motility was 36.8 ± 14.1 (%) respectively.
Two (1.1%) recurrent varicoceles were detected within a mean follow-up of 24 months (range = 2-64). One (0.6%) hydrocele formation was found during the follow-up period
Conclusion: Open subinguinal varicocelectomy could offer comparable semen result in infertile males as microscopic and laparoscopic varicocelectomies.