title: Comparison of two approaches in microsurgical varicocelectomy in Chinese infertile males.
abstract: OBJECTIVE
  To compare the outcomes of two approaches (inguinal and subinguinal) of microsurgical varicocelectomy (MV) in Chinese infertile men.
  
  
  METHODS
  120 infertile men who met the inclusion criteria were randomly assigned to two groups and operated with MV using different approaches. The outcomes and complications were then compared.
  
  
  RESULTS
  The two groups were similar in all aspects except the percentage of patients using analgesic at 27 h postoperatively (57.6% in the inguinal group, 37.5% in the subinguinal group; p < 0.05). Spontaneous pregnancy was achieved at a ratio of 33.9% in the inguinal group and 30.4% in subinguinal group. The median values of semen parameters were significantly improved postoperatively in both groups.
  
  
  CONCLUSIONS
  Both approaches are effective methods in the repair of varicocele in infertile men, but more analgesic medication at the first day after operation may be required in inguinal group.
authors: Department of Urology, Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, China.
authors: Feng
authors: F
authors: Pan
authors: Lianjun
authors: L
authors: Pan
authors: Aixia
authors: A
authors: Zhang
authors: Yong
authors: Y
authors: Liu
authors: Fenglei
authors: F
authors: Zhang
authors: Yutian
authors: Y
authors: Dai
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D016009:Chi-Square Distribution; D002681:China; D004311:Double-Blind Method; D005260:Female; D005298:Fertility; D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000009:adverse effects; D010149:Postoperative Pain / Q000188:drug therapy / Q000209:etiology; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D055101:Semen Analysis; D013997:Time Factors; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*; D014646:Varicocele / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*
chemical_list: D000700:Analgesics