RESULTS OF SURGICAL AND DIAPEUTIC TREATMENT OF VARICOCELE

Authors

  • Nurmurzaev Zafar Narbay ugli
  • Kuliev Abduholik Babanazarovich Samarkand State Medical University, Republic of Uzbekistan, Samarkand;

Keywords:

varicocele, diagnosis, treatment, Ivanissevich operation, Palomo operation, Marmar operation, antegrade endovascular sclerotherapy, complication.

Abstract

The study included the results of treatment of 376 patients with left-sided varicocele admitted to the surgical department of the Tashkent City Clinical Hospital No. 1 named after Ibn Sino. Depending on the method of surgical intervention, 2 groups of patients were identified. In 2009-2014 181 patients underwent conventional surgical interventions (Ivanissevich or Palomo operations), which made up the comparison group. From 2015 to 2022 195 patients underwent subinguinal selective surgeries (antegrade endovascular sclerotherapy of the left testicular vein (LTV) and Marmar surgery), which were included in the main group. So, compared to 2009-2014. the frequency of postoperative complications decreased from 12.7 to 2.6%, i.e. almost 5 times in the main group. Antegrade angiosclerotherapy of PTV is more easily tolerated by patients compared to traditional operations, and this operation is cost-effective, reduces the length of hospital stay compared to other surgical interventions.

References

Антипов Н. В. и др. О вариантной анатомии сосудов пахового канала //Клінічна анатомія та оперативна хірургія. – 2010. – Т. 9. – №. 3. – С. 36-38.

Гамидов С. И. и др. Хирургическое лечение варикоцеле у мужчин с бесплодием //Фарматека. – 2010. – №. 18-19. – С. 44-48.

Лельчук С. А., Антоненко Ф. Ф., Щербавская Э. А. Роль варикоцеле и его оперативного лечения в нарушении репродуктивной функции (обзор литературы) //Репродуктивное здоровье детей и подростков. – 2009. – №. 3. – С. 77-84.

Умаров Б. А. Сравнительная оценка результатов хирургического лечения варикоцеле //Вестник Кыргызско-Российского славянского университета. – 2012. – Т. 12. – №. 9. – С. 129-131.

Шамраев С. Н., Канана А. Я. Ближайшие результаты различных современных методов хирургического лечения варикоцеле //Актуальні проблеми сучасної медицини: Вісник української медичної стоматологічної академії. – 2011. – Т. 11. – №. 4-1 (36).

Agarwal A., Hamada A., Esteves S. C. Insight into oxidative stress in varicocele-associated male infertility: part 1 //Nature Reviews Urology. – 2012. – Т. 9. – №. 12. – С. 678.

Cortés-Gutiérrez E. I. et al. DNA damage in spermatozoa from infertile men with varicocele evaluated by sperm chromatin dispersion and DBD-FISH //Archives of gynecology and obstetrics. – 2016. – Т. 293. – №. 1. – С. 189-196.

Fariello R. M. et al. Effect of smoking on the functional aspects of sperm and seminal plasma protein profiles in patients with varicocele //Human Reproduction. – 2012. – Т. 27. – №. 11. – С. 3140-3149.

Zohdy W., Ghazi S., Arafa M. Impact of varicocelectomy on gonadal and erectile functions in men with hypogonadism and infertility //The journal of sexual medicine. – 2011. – Т. 8. – №. 3. – С. 885-893.

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Submitted

2023-12-06

Published

2023-12-06