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Preserving one artery shortens the surgical time and does not affect the efficacy of microsurgical subinguinal varicocelectomy: preliminary findings from a retrospective study.
BMC Urol
December 2024
Department of Urology, 920th Hospital of Joint Logistic Support Force, Kunming, 650000, China.
Background: To analyze the safety and efficacy of microsurgical subinguinal varicocelectomy(MSV) performed with and without preservation of all testicular arteries and lymphatic system.
Methods: All of the 98 patients with varicocele who underwent MSV were included in the analysis. Fifty-eight male patients surgically underwent MSV with preservation of all testicular arteries and lymphatic system(Group 1).
[Comparison of Chronic Testicular Pain and Scrotal Pain Due to Varicocele Using the Japanese Short Form McGill Pain Questionnaire (SF-MPQ)].
Hinyokika Kiyo
July 2024
The Department of Urology, Teikyo University School of Medicine.
Article Synopsis
- Chronic testicular pain (CTP) lasts over three months, often with unclear causes and requires differentiation from varicocele (VC) pain.
- A study involving 77 patients revealed that those with CTP were older, more likely to be married, and had higher comorbidity compared to those with VC.
- The CTP group reported significantly more severe and various types of pain sensations, and their emotional response to pain was also more intense, highlighting the usefulness of the shortform McGill pain questionnaire (SF-MPQ) in assessing CTP.
Adolescent microsurgical varicocelectomy and changes in sperm parameters: A matched cohort analysis.
Andrology
November 2024
Desai Sethi Urology Institute, University of Miami, Miami, Florida, USA.
Background: Varicocele, a common vascular abnormality surrounding the testis, is known to be associated with impaired semen parameters and male infertility in adults. However, its impact on the adolescent and young adult (AYA) population is less well known.
Objectives: The study aimed to assess the improvement in sperm parameters following varicocelectomy in the AYA population, comparing them to matched adult counterparts, and investigating potential advantages of early intervention.
A closer look: sperm analysis and clinical outcomes of microscopic and loupe-assisted varicocele repair in male infertility due to moderate-to-severe varicocele.
Int Urol Nephrol
February 2025
Department of Urology, School of Medicine, Shiraz University of Medical Sciences, Faghihi Hospital, Zand Avenue, 71348-44119, Shiraz, Iran.
Article Synopsis
- The study aimed to compare the effectiveness and complications of two techniques (loupe-assisted vs. microscopic) for varicocele repair in infertile men with moderate-to-severe varicocele.
- A total of 104 male patients were analyzed, revealing significant improvements in sperm concentration and motility after surgery, but no notable differences between the two magnification methods.
- Microscopic repair took longer on average (70 minutes) compared to loupe-assisted repair (45 minutes), with no significant difference in post-operative sperm improvement between the two techniques.
Understanding Pediatric Experiences With Symptomatic Varicoceles: Mixed Methods Study of an Online Varicocele Community.
JMIR Form Res
October 2024
Department of Urology, University of California, Los Angeles, Los Angeles, CA, United States.
Article Synopsis
- Varicoceles are a common issue affecting up to 30% of adolescent males, but researching this topic is challenging due to its sensitive nature.
- This study utilized social media, specifically the Reddit forum "r/varicocele," and employed natural language processing (NLP) techniques to analyze the discussions of young males about their condition.
- The findings highlighted key themes from 1103 posts, including general information about varicoceles, management strategies, post-treatment experiences, community support, and the need for second opinions from physicians, with specific concerns about hypogonadism and semen analysis also noted.
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