medigraphic.com
ISSN 2305-7939 (Electronic)

2013, Number 1

<< Back Next >>

RCU 2013; 2 (1)

Varicocele bilateral e infertilidad: evaluación de dos técnicas quirúrgicas

Chou RA, Fragas VR, Hernández SDR, Rodríguez VE, Palacios JP

Language: Spanish
References: 20
Page: 53-69
PDF size: 631.98 Kb.


ABSTRACT

Introduction: varicocele is the most common isolated cause of infertility in male. Objectives: determine the efficacy and safety of the pigeon technique (PT) and single suprapubic access (SSA) in the correction of bilateral varicocele in infertile patients. Methods: a controlled and prospective study was carried out at random among patients that attended urology consultation in Comandante Manuel Fajardo Hospital and National institute of Endocrinology. Two groups were formed at random comparing the results of both techniques, while the patients were controlled for a period of 12 months. Result: the majority of the patients were between 30 and 39 years of age, with second grade varicocele. The surgical time of SSA was 19 minutes and the PT was an average of 29 minutes. The normalization of spermiogram occurred in 72% of the patients operated using TP and 73% in SSA. After one year of being operated, 50% of the patients operated by PT were able to impregnate while 52% of those operated by SSA also impregnated. Conclusion: the results were similar in both groups in spermiogram recuperations, pregnancies post operatives complications (hydrocele and varicocele). SSA is easier than PT, need less time and let a soon incorporations to the job too.


REFERENCES

  1. Hammarberg K; Baker HW; Fisher JR. Men's experiences of infertility and infertility treatment 5 years after diagnosis of male factor infertility: a retrospective cohort study. Human Reprod (Oxford, England). 2010 nov;25(11):281520. Disponible en: http://humrep.oxfordjournals.org/content/25/11/2815.short

  2. Jones SR. Smart Guide to Infertility: myths and reality. BJ Midwifery. 2010 mar;18(3):202202. Disponible en: https://intermid.co.uk/cgi-bin/go.pl/library/article.cgi?uid=46927;article=BJM_18_3_202

  3. Shindel AW. Male infertility: a clinical guide. Fertil & Steril. 2012 ago;98(2):508508. Disponible en: http://www.journals.elsevierhealth.com/periodicals/fns/article/S0015-0282(12)00606-1/abstract

  4. Baazeem A, Belzile E, Ciampi A, Dohle G, Jarvi K, Salonia A, et al. Varicocele and Male Factor Infertility Treatment: A New Meta-analysis and Review of the Role of Varicocele Repair. Europ Urol. 2011 oct;60(4):796808. Disponible en: http://www.sciencedirect.com/science/article/pii/S0302283811006427

  5. García Navas R, Maganto Pavón E, García-Ortells D, Gómez García I, Sanz Mayayo E, Escudero Barrilero A. La infertilidad y el varicocele a través de la historia. Arch. Esp. Urol. 2004;57(9):876-2. Disponible en: http://historia.aeu.es/ArchEspUrol/LVII(9)876-882.pdf

  6. Choy JT, Ellsworth P. Overview of Current Approaches To the Evaluation and Management Of Male Infertility. Urologic Nursing. 2012 dic;32(6):286304. Disponible en: http://europepmc.org/abstract/MED/23362697

  7. Vela Mosquera A. Varicocelectomía subinguinal: Resultados. Trabajo para optar por el Título de Especialista de Primer Grado en Urología. 2005. Hospital Universitario Mayor General Calixto García Iñiguez. Ciudad de la Habana.

  8. Al Bakri A; Lo K; Grober E; Cassidy D; Cardoso JP; Jarvi K. Time for improvement in semen parameters after varicocelectomy. J Urol. 2012 ene;187(1):22731. Disponible: http://www.sciencedirect.com/science/article/pii/S002253471104986X

  9. Abdulkareem AH. Laparoscopic versus Various Types of Open Ligation of Testicular Veins for Treatment of Varicocele. WJ Lapa Sur. 2009 abr;2(1):401. Disponible en: http://www.sciencedirect.com/science/article/pii/S0090429598001782

  10. Chan P. Management options of varicoceles. Ind J Urol. 2011 ene;27(1):6573. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114590/

  11. Pamplona Casamayor M, Duarte Ojeda JM, Villar Esnal R, Bolea Laguarta MA, de la Cruz Bértolo J, Álvarez González E, et al. The treatment of varicocele in the infertile male I: results on semen quality. Arch Esp Urol. 2004;57(9):969-80. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15624396

  12. Cayan S; Shavakhabov S; Kadioðlu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2009 feb;30(1):3340. Disponible en: http://onlinelibrary.wiley.com/doi/10.2164/jandrol.108.005967/full

  13. Conference Abstracts. December 3, 2012. Fertil W. 2012 dic 3;137.

  14. Tournaye HJ; Cohlen BJ. Management of male-factor infertility. BPR Clinic Obst & Gynaecol. 2012 dic;26(6):76975. Disponible en: http://www.sciencedirect.com/science/article/pii/S1521693412000910

  15. Martínez-Salamanca JI, Hernández C, Jara J, Cabello R, Moncada I. Methodology in infertility studies. Outcome measures for therapeutic success. When should we consider that has been a change in semen quality? Arch Esp Urol. 2004; 57(9):1003-10. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15624399

  16. Kamischke A, Nieschlag E. Tratamiento del varicocele a la luz de la andrología basada en evidencias. Hum Reprod Update 2001;7:65-9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11212077

  17. Ding H, Tian J, Du W, Zhang L, Wang H, Wang Z. Open non-microsurgical, laparoscopic or open microsurgical varicocelectomy for male infertility: a meta-analysis of randomized controlled trials. BJU International. 2012 nov 15;110(10):153642. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2012.11093.x/full

  18. Osifo OD; Agbugui JO. Male infertility secondary to varicocele: a study of the management of 45 patients. AJRH. 2008 abr;12(1):549. Disponible en: http://www.ajol.info/index.php/ajrh/article/view/7953

  19. Briceño T, Díaz I, Gómez C, Cavelier Castro LE. Varicocele e infertilidad masculina. Urol colomb. 2008;17(1):10. Disponible en: http://www.ajol.info/index.php/ajrh/article/view/7953

  20. Sarabia L, Munuce MJ. Nuevos valores para el espermiograma OMS 2010. Rev Méd Chi. 2011;139(4):5489. Disponible en: http://www.scielo.cl/scielo.php?pid=S0034-98872011000400020&script=sci_arttext&tlng=pt




2020     |     www.medigraphic.com