[Long-term results of microsurgical varicocelectomy].
OBJECTIVE
Presentation of microsurgical varicocelectomy (MVE) treatment outcome in infertile males, in males with symptomatic varicocela and in males with hypotrophic testes.


METHODS
From IV/98 to XII/05, a total of 350 patients with varcicocelas were operated in our clinic, using the MVE method. The authors assess the surgical method results in 131 patients. In 90.84% of the patients, the procedure was performed in order to manage infertility, in 7.63% for dyscomfort and in 1.53% due to findings of hypotrophic testes. 82.44% of the patients sufferred from a left-sided varicocela, 6.03% from a bilateral one and 1.53 % from a right-sided varicocela.


RESULTS
Postoperative follow up of spermiograms (Spg), performed at three-month intervals, confirmed significant Spg improvements in 75.57% of the patients, in 13.74% of the cases no change was reported, and in 7.63% the Spg could not be assessed because the patients failed to turn up for a check up, and in 3.05% mild deterioration of the Spg was reported.


CONCLUSIONS
Microsurgical varicocelectomy is a standard and highly effective treatment method of varicelas, which are indicated for management.
Nussir
M
M
Urologická klinika, LF Masarykovy Univerzity, FN Brno. drnussir@yahoo.com
Pacík
D
D
D000293:Adolescent; D000328:Adult; D006801:Humans; D007248:Infertility, Male / Q000209:etiology; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D012008:Recurrence; D014646:Varicocele / Q000150:complications / Q000601:surgery*