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A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience
INTRODUCTION: In our study, we reviewed efficacy and complication rates of open subinguinal varicocelectomy (OSV) and loupe assisted subinguinal varicocelectomy (LASV) using seminal and hormonal parameters in a prospective randomized study. MATERIALS AND METHODS: We prospectively studied 60 males wi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308030/ https://www.ncbi.nlm.nih.gov/pubmed/28216922 http://dx.doi.org/10.4103/0974-7796.198899 |
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author | Vyas, Hari Gopal Bhandari, Vimal Kumar, Anup Nanda, Biswajit Singh, Harbinder Bhowmick, Subroto |
author_facet | Vyas, Hari Gopal Bhandari, Vimal Kumar, Anup Nanda, Biswajit Singh, Harbinder Bhowmick, Subroto |
author_sort | Vyas, Hari Gopal |
collection | PubMed |
description | INTRODUCTION: In our study, we reviewed efficacy and complication rates of open subinguinal varicocelectomy (OSV) and loupe assisted subinguinal varicocelectomy (LASV) using seminal and hormonal parameters in a prospective randomized study. MATERIALS AND METHODS: We prospectively studied 60 males with Grade 2 and Grade 3 varicocele. Thirty patients underwent OSV and the other 30 patients underwent LASV. Intra-operative and post-operative complications along with pre-operative and post-operative seminal, hormonal parameters and testicular volume were compared between the groups. RESULTS: Sperm count, motility and morphology increased significantly in both groups, but the improvement was significantly better in LASV group. (Group A – improvement in sperm count, motility and morphology by 25%, 8.5%, 10.3%, respectively and in Group B – improvement in sperm count, motility and morphology by 110%, 68.59%, 71.1%, respectively. Decrease in serum follicular stimulating hormone (FSH), luteinizing hormone (LH) and increase in serum testosterone were significant in both groups, but the improvement was significantly better in LASV group. (Group A – serum FSH and LH decreased by 17.2%, 23%, respectively and serum testosterone increased by 13.7% and in Group B – serum FSH and LH decreased by 56.9%, 56.65%, respectively and serum testosterone increased by 95.9%). The recurrence (OSV = 13.2% and LASV = 0, P = 0.01) and complication rates were significantly lower in LASV group. CONCLUSION: Our study shows that LASV is significantly better than OSV regarding efficacy and complication rates. |
format | Online Article Text |
id | pubmed-5308030 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-53080302017-02-17 A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience Vyas, Hari Gopal Bhandari, Vimal Kumar, Anup Nanda, Biswajit Singh, Harbinder Bhowmick, Subroto Urol Ann Original Article INTRODUCTION: In our study, we reviewed efficacy and complication rates of open subinguinal varicocelectomy (OSV) and loupe assisted subinguinal varicocelectomy (LASV) using seminal and hormonal parameters in a prospective randomized study. MATERIALS AND METHODS: We prospectively studied 60 males with Grade 2 and Grade 3 varicocele. Thirty patients underwent OSV and the other 30 patients underwent LASV. Intra-operative and post-operative complications along with pre-operative and post-operative seminal, hormonal parameters and testicular volume were compared between the groups. RESULTS: Sperm count, motility and morphology increased significantly in both groups, but the improvement was significantly better in LASV group. (Group A – improvement in sperm count, motility and morphology by 25%, 8.5%, 10.3%, respectively and in Group B – improvement in sperm count, motility and morphology by 110%, 68.59%, 71.1%, respectively. Decrease in serum follicular stimulating hormone (FSH), luteinizing hormone (LH) and increase in serum testosterone were significant in both groups, but the improvement was significantly better in LASV group. (Group A – serum FSH and LH decreased by 17.2%, 23%, respectively and serum testosterone increased by 13.7% and in Group B – serum FSH and LH decreased by 56.9%, 56.65%, respectively and serum testosterone increased by 95.9%). The recurrence (OSV = 13.2% and LASV = 0, P = 0.01) and complication rates were significantly lower in LASV group. CONCLUSION: Our study shows that LASV is significantly better than OSV regarding efficacy and complication rates. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5308030/ /pubmed/28216922 http://dx.doi.org/10.4103/0974-7796.198899 Text en Copyright: © 2017 Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Vyas, Hari Gopal Bhandari, Vimal Kumar, Anup Nanda, Biswajit Singh, Harbinder Bhowmick, Subroto A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience |
title | A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience |
title_full | A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience |
title_fullStr | A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience |
title_full_unstemmed | A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience |
title_short | A prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: A single center experience |
title_sort | prospective randomized comparative trial between open subinguinal and loupe assisted subinguinal varicocelectome: a single center experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308030/ https://www.ncbi.nlm.nih.gov/pubmed/28216922 http://dx.doi.org/10.4103/0974-7796.198899 |
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