Clinical outcome of microsurgical subinguinal varicocelectomy in infertile men

• Published in: Andrologia Vol. 33; no. 2; pp. 71 - 74
• Main Authors: Jungwirth, A., Gögüs, C., Hauser, G., Gomahr, A., Schmeller, N., Aulitzky, W., Frick, J.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Science Ltd 01.03.2001; Blackwell
• Subjects: Adolescent; Adult; Biological and medical sciences; Female; Groin; Gynecology. Andrology. Obstetrics; Humans; Infertility; Infertility, Male - etiology; Infertility, Male - surgery; Male; Male genital diseases; Medical sciences; Microsurgery; Middle Aged; Non tumoral diseases; Pregnancy; Sperm Count; Sperm Motility; testis; Treatment Outcome; varicocele; Varicocele - complications; Varicocele - surgery; Human; Varicocele; Spermatozoa; Mobility; Inguinal; Long term; Result; Treatment; Surgery; Male sterility; Male genital diseases; Testicular diseases; Quantitative analysis
• ISSN: 0303-4569; 1439-0272
• DOI: 10.1046/j.1439-0272.2001.00407.x

The present study assesses the clinical outcome of microsurgical subinguinal varicocelectomy in infertile men, especially with regard to sperm count, motility and fertility. Between June 1990 and October 1998, 272 patients had subinguinal microsurgical varicocelectomy operations for clinical varicoceles, and their long‐term results were assessed. In nearly all the patients there was a significant improvement in sperm count and sperm motility after 3 and 6 months. Very few complications arose from this procedure. We concluded that microsurgical subinguinal varicocelectomy is an effective treatment for clinical varicoceles in infertile men. The significant improvement in the quality of spermatozoa, the low complication rates and the remarkably high pregnancy rates make this a valuable alternative to in vitro reproduction techniques.