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COMPARISON OF BILATERAL VERSUS UNILATERAL VARICOCELECTOMY IN MEN WITH PALPABLE BILATERAL VARICOCELES

1999; Lippincott Williams & Wilkins; Volume: 162; Issue: 1 Linguagem: Inglês

10.1097/00005392-199907000-00021

1527-3792

Douglas S. Scherr, MARC GOLDSTEIN,

Sexual Differentiation and Disorders

No AccessJournal of UrologyClinical Urology: Original Articles1 Jul 1999COMPARISON OF BILATERAL VERSUS UNILATERAL VARICOCELECTOMY IN MEN WITH PALPABLE BILATERAL VARICOCELES DOUGLAS SCHERR and MARC GOLDSTEIN DOUGLAS SCHERRDOUGLAS SCHERR and MARC GOLDSTEINMARC GOLDSTEIN View All Author Informationhttps://doi.org/10.1097/00005392-199907000-00021AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The left varicocele is usually larger in men with bilateral varicoceles. We hypothesized that most of the benefit of varicocelectomy would derive from repair of the larger varicocele. To test this hypothesis we prospectively compared the effect of unilateral versus bilateral microsurgical varicocelectomy in men with large (grade III) or moderate (II) left varicocele associated with small but palpable (I) right varicocele. Materials and Methods: A total of 91 patients were prospectively followed and included in the study. Of the patients 65 underwent bilateral and 26 underwent unilateral left repair. All patients underwent preoperative and postoperative semen analysis. Results: Motile sperm concentration increased from 12.1 +/- 1.7 to 23.7 +/- 31.8 (95.8% change) in the bilateral group compared with an increase from 19.5 +/- 21.4 to 27.8 +/- 34.8 (42.6% change) in the unilateral group (p < 0.05). Similarly, sperm concentration increased from 23.8 +/- 29.5 to 48.6 +/- 61.3 (157.6% change) in the bilateral group compared with an increase from 41.1 +/- 40.9 to 59.5 +/- 66.7 (44.8% change) in the unilateral group (p < 0.05). Conclusions: Bilateral varicocelectomy resulted in significantly greater improvement in postoperative seminal parameters than unilateral repair in patients with grades II to III left varicocele associated with grade I right varicocele. 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Google Scholar From the Department of Urology, New York Hospital-Cornell Medical Center, Center For Male Reproductive Medicine and Microsurgery, James Buchanan Brady Foundation, New York, New York(Goldstein) Requests for reprints: Department of Urology, Center For Male Reproductive Medicine and Microsurgery, James Buchanan Brady Foundation, 525 E. 68th St., F9W, New York, New York 10021.© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byAsafu-Adjei D, Judge C, Deibert C, Li G, Stember D and Stahl P (2019) Systematic Review of the Impact of Varicocele Grade on Response to Surgical ManagementJournal of Urology, VOL. 203, NO. 1, (48-56), Online publication date: 1-Jan-2020.Glassberg K (2009) Re: Adolescent Varicocelectomy—Is the Potential for Catch-Up Growth Related to Age and/or Tanner Stage?Journal of Urology, VOL. 181, NO. 6, (2830-2831), Online publication date: 1-Jun-2009.Libman J, Jarvi K, Lo K and Zini A (2018) Beneficial Effect of Microsurgical Varicocelectomy is Superior for Men With Bilateral Versus Unilateral RepairJournal of Urology, VOL. 176, NO. 6, (2602-2605), Online publication date: 1-Dec-2006.Tanrikut C and Goldstein M (2018) Varicocele: Size Does MatterJournal of Urology, VOL. 176, NO. 5, (1912-1913), Online publication date: 1-Nov-2006.Hussein A (2018) The Role of Color Doppler Ultrasound in Prediction of the Outcome of Microsurgical Subinguinal VaricocelectomyJournal of Urology, VOL. 176, NO. 5, (2141-2145), Online publication date: 1-Nov-2006. (2018) RE: VARICOCELE. WHERE, WHY AND, IF SO, HOW?Journal of Urology, VOL. 173, NO. 6, (2208-2209), Online publication date: 1-Jun-2005.Greenfield S, Seville P and Wan J (2018) Experience with Varicoceles in Children and Young AdultsJournal of Urology, VOL. 168, NO. 4 Part 2, (1684-1688), Online publication date: 1-Oct-2002.Çayan S, Erdemir F, Özbey I, Turek P, Kadioğlu A and Tellaloğlu S (2018) Can Varicocelectomy Significantly Change The Way Couples Use Assisted Reproductive Technologies?Journal of Urology, VOL. 167, NO. 4, (1749-1752), Online publication date: 1-Apr-2002. Volume 162 Issue 1 July 1999 Page: 85-88 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.Metrics Author Information DOUGLAS SCHERR More articles by this author MARC GOLDSTEIN More articles by this author Expand All Advertisement PDF downloadLoading ...