Evaluation of Varicocelectomy Operative Therapy for Infertile Couples at the UGM Academic Hospital

https://doi.org/10.22146/ahj.v5i2.86828

WIKAN KURNIAWAN Sp.U(1*)

(1) RSA UGM
(*) Corresponding Author

Abstract


Background: Infertility is a condition of the male or female reproductive system characterized by failure to achieve pregnancy after 12 months or more of having regular sexual intercourse without contraception. Since 2013,  Rumah Sakit Akademik UGM (RSA UGM) has providing varicocele therapy to infertile individuals. The Ivanissevich varicocelectomy procedure is used for varicocele therapy.

Objective: This study intends to examine the management of varicocele patients at RSA UGM.

Methods: This research is a retrospective study by opening medical records and interviews. The study population was all patients who underwent varicocelectomy surgery between 2013 and 2021. Data is presented in the form of  graphs.

Results: The distribution of varicocele lateralization showed that out of 35 respondents, 23 respondents (66%) had one side varicoceles and 12 respondents (34%) both sides varicoceles. The distribution based on successful pregnancy shows that out of 35 respondents, 10 respondent couples (29%) have already gotten pregnant, 25 respondents (71%) haven't gotten pregnant. The distribution of varicocele lateralization in respondents who have children shows that 70% of respondents are one side and 30% of respondents are both sides. Complications of discomfort revealed that 88% of research participants had no complaints of postoperative pain, whereas 11% occasionally suffered pain following varicocele surgery.

Conclusion: Varicocele that is one side is more common. Patients with one side varicocele who have surgery are more likely to become parents than those with both sides varicocele. At RSA UGM, the varicocelectomy success rate is comparable to the worldwide success rate.

Keywords: Varicocele, success rate, one side, both sides.


Keywords


Varicocele, success rate, one side, both sides

Full Text:

PDF


References

WHO. Infertility. https://www.who.int/news-room/fact-sheets/detail/infertility (acessed on 12/12/2020). 2022; : 1.

Leaver RB. of Causes and Treatment Options. Br J Nurs 2016; 25: 35–41.

Kumar N, Singh A. Trends of male factor infertility, an important cause of infertility: A review of literature. J Hum Reprod Sci 2015; 8: 191–196.

SW L, LE S, TL S-S, Khan MA. Male Infertility - StatPearls - NCBI Bookshelf source 1. 2021; : 1–70.

Kantartzi PD, Goulis CD, Goulis GD, Papadimas I. Male infertility and varicocele: Myths and reality. Hippokratia 2007; 11: 99–104.

Lundy SD, Sabanegh ES. Varicocele management for infertility and pain: A systematic review. Arab J Urol 2018; 16: 157–170.

Stephen W. Leslie, Hussain S, Larry E S. Varicocele - StatPearls - NCBI Bookshelf. NCBI. 2020; : 1–15.

Hosseini K, Nejatifar M, Kabir A. Comparison of the efficacy and safety of palomo, Ivanissevich and laparoscopic varicocelectomy in Iranian infertile men with palpable varicocele. Int J Fertil Steril 2018; 12: 81–87.

Cannarella R, Calogero AE, Condorelli RA, Giacone F, Aversa A, La Vignera S. Management and treatment of varicocele in children and adolescents: An endocrinologic perspective. J Clin Med 2019; 8: 1–11.

Chu D, Zderic SA, R SA, Srinivasan AK, Tasian GE, Weiss DA et al. The natural history of semen parameters in untreated asymptomatic adolescent varicocele patients: A retrospective cohort study. J Pediatr Urol 2017; 13: 1–12.

Chiba K, Fujisawa M. Clinical Outcomes of Varicocele Repair in Infertile Men: A Review. World J Mens Health 2016; 34: 101.

Leslie S, Sajjad H, Siref L. Varicocele - StatPearls. Natl Libr Med 2022; : 1–13.

Besiroglu H, Otunctemur A, Dursun M, Ozbek E. The prevalence and severity of varicocele in adult population over the age of forty years old: a cross-sectional study. Aging Male 2019; 22: 207–213.

Kupis Ł, Dobroński PA, Radziszewski P. Varicocele as a source of male infertility – current treatment techniques. Cent Eur J Urol 2015; 68: 365–70.

Raheem O. Surgical management of adolescent varicocele: Systematic review of the world literature. Urol Ann 2013; 5: 133–139.

Bertolotto M, Freeman S, Richenberg J, Belfield J, Dogra V, Huang DY et al. Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations. J Ultrasound 2020; 23: 487–507.

DM N, Meng M, Sheth M, Cohen M, Turek P. Are Bilateral Varicoceles More Harmful to Spermatogenesis than Unilateral Varicoceles in Infertile Men? - Fertility and Sterility. Fertil Steril 2000; : 1.

Bellastella G, Carotenuto R, Caiazzo F, Longo M, Cirillo P, Scappaticcio L et al. Varicocele: An Endocrinological Perspective. Front Reprod Heal 2022; 4. doi:10.3389/frph.2022.863695.

Owen RC, McCormick BJ, Figler BD, Coward RM. A review of varicocele repair for pain. Transl Androl Urol 2017; 6: S20–S29.

Pogatzki-Zahn EM, Segelcke D, Schug SA. Postoperative pain—from mechanisms to treatment. Pain Reports 2017; 2. doi:10.1097/PR9.0000000000000588.

Chen J qing, Wu Z, Wen L you, Miao J zhong, Hu Y ming, Xue R. Preoperative and postoperative analgesic techniques in the treatment of patients undergoing transabdominal hysterectomy: A preliminary randomized trial. BMC Anesthesiol 2015; 15: 1–7.

Rosero EB, Joshi GP. Preemptive, preventive, multimodal analgesia: What do they really mean? Plast Reconstr Surg 2014; 134: 85S–93S.



DOI: https://doi.org/10.22146/ahj.v5i2.86828

Article Metrics

Abstract views : 227 | views : 169

Refbacks

  • There are currently no refbacks.




Copyright (c) 2024 Academic Hospital Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Currently, Academic Hospital Journal indexed by:

google-scholar

garuda

dimensions logo


 

Web
    Analytics

View My Stats

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License