Department of Urology, Chonnam National University Medical School, Gwangju, Korea.
Andrologia. 2011 Dec;43(6):405-8. doi: 10.1111/j.1439-0272.2010.01087.x. Epub 2011 Jun 30.
The aim of this study is to report our experience of modified microsurgical subinguinal varicocelectomy without delivery of the testes. We retrospectively evaluated 138 men treated with microsurgical varicocelectomy who took part in 1-year follow-up between 1997 and 2007. The varicoceles were grade III in 115 (81.6%), grade II in 23 (16.3%), and grade I in 3 (2.1%) men. We used a technical modification of the standard microsurgical subinguinal technique: division of the spermatic cord before microsurgical dissection, and the testes were not delivered. Patient age, varicocele grade, operation time, 1-year follow-up results, including complications, symptom relief, and recurrence, were recorded. We performed 141 varicocelectomies (Left: n = 135; bilateral: n = 3) in 138 men. The patients' mean age was 23.5 ± 2.7 (range: 11-45) years. The mean operation time was 69.6 ± 15.6 (range: 35-140) min. There were three complications (2.2%; post-operative haematomas: n = 2; wound infection: n = 1) and 6 recurrences (4.3%; grade II: n = 1; grade III: n = 5). Among the 86 patients with scrotal pain, 74 (77.9%) reported complete resolution of pain and 13 (12.9%) reported partial resolution. Modified microsurgical subinguinal varicocelectomy without testis delivery is safe and effective.
本研究旨在报告我们在不提出睾丸的情况下进行改良的显微精索下静脉结扎术的经验。我们回顾性评估了 1997 年至 2007 年间参与 1 年随访的 138 名接受显微精索静脉结扎术治疗的男性。115 名（81.6%）患者精索静脉曲张为 3 级，23 名（16.3%）为 2 级，3 名（2.1%）为 1 级。我们使用了标准显微精索下技术的技术改良：在显微解剖前切开精索，不提出睾丸。记录患者年龄、精索静脉曲张程度、手术时间、1 年随访结果，包括并发症、症状缓解和复发情况。我们在 138 名男性中进行了 141 例精索静脉结扎术（左侧：n = 135；双侧：n = 3）。患者的平均年龄为 23.5 ± 2.7 岁（范围：11-45 岁）。平均手术时间为 69.6 ± 15.6 分钟（范围：35-140 分钟）。有 3 例并发症（2.2%；术后血肿：n = 2；伤口感染：n = 1）和 6 例复发（4.3%；2 级：n = 1；3 级：n = 5）。在 86 名有阴囊疼痛的患者中，74 名（77.9%）报告完全缓解疼痛，13 名（12.9%）报告部分缓解。不提出睾丸的改良显微精索下静脉结扎术是安全有效的。
