Title of article :
Comparison of The Efficacy and Safety of Palomo, Ivanissevich and Laparoscopic Varicocelectomy in Iranian Infertile Men with Palpable Varicocele
Author/Authors :
Hosseini, Kamal Department of Urology - School of Medicine - Iran University of Medical Sciences, Tehran , Nejatifar, Masoumeh Shahid Beheshti University of Medical Sciences - Faculty of Public Health, Tehran , Kabir, Ali Minimally Invasive Surgery Research Center - Iran University of Medical Sciences, Tehran
Abstract :
Background: This study aimed to compare the effects of three commonly used varicocelectomy techniques
namely, open retroperitoneal ligation (Palomo), open inguinal ligation (Ivanissevich) and laparoscopy, in
Iranian infertile men.
Materials and Methods: This retrospective study was conducted on 70 infertile men with palpable varicocele who
underwent one of the varicocelectomy techniques namely, Palomo, Ivanissevich, or laparoscopy. Basic information
about semen parameters were collected and registered prior to the surgery. Three months after the surgery, semen
parameters and surgical complications were investigated in all patients.
Results: The Palomo technique was significantly associated with fewer complications compared to other techniques
(P=0.006). The means of sperm concentration, normal motility and normal morphology were significantly different
among the three groups after surgery (P=0.025, 0.023 and 0.047, respectively); However, after adjustment for potential
confounders, in addition to the baseline values of semen parameters, significant differences were observed only
in sperm concentration among the groups (P=0.040).
Conclusion: Varicocelectomy improved sperm parameters. The Ivanissevich technique was more effective in improving
sperm concentration compared to the laparoscopic method. The lowest rates of complications were related to
the Palomo technique.
Keywords :
Varicocele , Semen Analysis , Infertility , Male
Journal title :
Astroparticle Physics