The Andrology Department, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
The Andrology Department, The Reproductive Medicine Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen 518107, China.
Asian J Androl. 2022 Nov-Dec;24(6):624-627. doi: 10.4103/aja202232.
Many therapies are effective in treating varicoceles, including dilation of the pampiniform plexus in males. The most common method of treatment is varicocelectomy. We aimed to assess an alternative technique (microsurgical spermatic [distal end]-superficial or inferior epigastric vein anastomosis) that preserves the normal blood flow pattern for varicocele treatment. We retrospectively analyzed 27 men with varicocele between October 2019 and July 2020. All patients underwent microsurgical spermatic (distal end)-superficial or inferior epigastric vein anastomosis. The prognosis was reviewed retrospectively with an additional survey conducted 3 months after surgery. The mean ± standard deviation of the age was 26.1 ± 7.3 years in patients with microsurgical spermatic (distal end)-superficial or inferior epigastric vein anastomosis. The maximum diameter of the varicocele vein, perineal pain score, sperm density, and forward movement of sperm improved over 3 months after surgery. Microsurgical spermatic (distal end)-superficial or inferior epigastric vein anastomosis is a safe and efficient surgical treatment for varicoceles.
许多疗法在治疗精索静脉曲张方面都有效，包括男性精索内丛扩张。最常见的治疗方法是精索静脉曲张结扎术。我们旨在评估一种保留精索静脉曲张治疗中正常血流模式的替代技术（显微精索[末端]-浅或腹壁下静脉吻合术）。我们回顾性分析了 2019 年 10 月至 2020 年 7 月期间 27 名精索静脉曲张患者。所有患者均行显微精索[末端]-浅或腹壁下静脉吻合术。术后 3 个月进行了额外的调查，回顾性地评估了预后。行显微精索[末端]-浅或腹壁下静脉吻合术的患者年龄为 26.1 ± 7.3 岁（平均值±标准差）。精索静脉曲张静脉的最大直径、会阴疼痛评分、精子密度和精子前向运动在手术后 3 个月内得到改善。显微精索[末端]-浅或腹壁下静脉吻合术是治疗精索静脉曲张的一种安全有效的手术治疗方法。
