Use of subinguinal incision for microsurgical testicular biopsy during varicocelectomy in men with nonobstructive azoospermia.
OBJECTIVE
To describe a subinguinal technique of microsurgical testicular biopsy performed during subinguinal varicocelectomy in men with nonobstructive azoospermia.


METHODS
Prospective clinical study.


METHODS
Andrology laboratory at tertiary care hospital. Male infertility section, department of urology, at tertiary care hospital.


METHODS
Ten azoospermic men with clinical varicocele.


METHODS
Subinguinal microsurgical testicular biopsy and microsurgical varicocele repair.


METHODS
Safety, feasibility, and effectiveness of subinguinal testicular biopsy during varicocele repair.


RESULTS
All testes were easily delivered through the subinguinal incision, and testicular biopsies were successfully performed under microscopic view. After a median follow-up of 9 months, none of the patients had any discomfort, pain, or presented with testicular atrophy. No intraoperative or postoperative complications were observed. There was no incidence of wound infection or scrotal hematoma.


CONCLUSIONS
The subinguinal approach is a safe and effective option for testicular biopsy during varicocele repair in men with nonobstructive azoospermia. This technique may be an attractive alternative to traditional biopsy because it obviates scrotal violation.
Cocuzza
Marcello
M
Department of Urology, University of São Paulo, São Paulo, Brazil. mcocuzza@uol.com.br
Pagani
Rodrigo
R
Lopes
Roberto Iglesias
RI
Athayde
Kelly S
KS
Lucon
Antonio M
AM
Srougi
Miguel
M
Hallak
Jorge
J
D000328:Adult; D053713:Azoospermia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001706:Biopsy / Q000009:adverse effects / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000009:adverse effects; D011446:Prospective Studies; D013737:Testis / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*; D014646:Varicocele / Q000150:complications / Q000473:pathology / Q000601:surgery*; D055815:Young Adult