African Journal for Infertility and Assisted Conception

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 3  |  Issue : 1  |  Page : 6--9

Short-term outcome of unaided versus microsurgical inguinal varicocelectomy among infertile men with varicocele


Muhammad Salihu Muhammad1, Ahmed Muhammed2, Ahmad Bello2, Ahmad Tijjani Lawal2, Awaisu Mudi2, Abdullahi Sudi2, Nasir Oyelowo3, Musliu Adetola Tolani3, Babatunde Kolapo Hamza3, Fidelis Lovely3, Hussaini Yusuf Maitama2 
1 Department of Surgery, Division of Urology, Ahmadu Bello University Teaching Hospital, Zaria; Department of Surgery, Federal Medical Center, Bida, Niger, Nigeria
2 Department of Surgery, Division of Urology, Ahmadu Bello University Teaching Hospital; Department of Surgery, Ahmadu Bello University, Zaria, Nigeria
3 Department of Surgery, Division of Urology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

Correspondence Address:
Dr. Muhammad Salihu Muhammad
Department of Surgery, Division of Urology, Ahmadu Bello University Teaching Hospital, Zaria
Nigeria

Objective: The objective was to determine the short-term outcome of unaided and microsurgical varicocelectomy on semen parameters and conception after 6 months in patients with infertility and varicocele. Patients and Methods: This was a randomized, prospective, interventional study that was conducted on men with infertility and varicocele. Patients were randomized into two groups. Patients in Group A underwent open inguinal varicocelectomy, whereas patients in Group B had the same surgery with microsurgical technique using ×3.5 magnification loupes. All the patients had preoperative seminal fluid analysis (SFA) performed on two occasions, a scrotal Doppler ultrasound and a postoperative SFA at 3 months and 6 months posttreatment. The data obtained were analyzed using the Statistical Package for the Social Sciences (SPSS) software package version 23.0, and the level of significance was taken as 0.05. Results: Thirty patients participated in the study, 14 in Group A and 16 in Group B. The mean age in Groups A and B was 40.07 ± 7.7 and 39.44 ± 7.3 years, respectively. About 85.7% of patients in Group A had bilateral varicocele, whereas 14.3% had left-sided varicocele. In Group B, 75% had bilateral, whereas 25% were on the left side. There was a statistically significant improvement in sperm count, motility, and morphology in both the unaided and the microsurgical groups; however, there was no significant difference in the improvement of seminal parameters between the two groups except the morphology. The pregnancy rate was 14.3% in Group A and 25% in Group B. Overall pregnancy rate in this study is 20% after 6 months. Conclusion: Varicocelectomy leads to significant improvement in sperm parameters; however, there is no significant difference in outcome between unaided and microsurgical varicocelectomy.


How to cite this article:
Muhammad MS, Muhammed A, Bello A, Lawal AT, Mudi A, Sudi A, Oyelowo N, Tolani MA, Hamza BK, Lovely F, Maitama HY. Short-term outcome of unaided versus microsurgical inguinal varicocelectomy among infertile men with varicocele.Afr J Infertil Assist Concept 2018;3:6-9


How to cite this URL:
Muhammad MS, Muhammed A, Bello A, Lawal AT, Mudi A, Sudi A, Oyelowo N, Tolani MA, Hamza BK, Lovely F, Maitama HY. Short-term outcome of unaided versus microsurgical inguinal varicocelectomy among infertile men with varicocele. Afr J Infertil Assist Concept [serial online] 2018 [cited 2020 Aug 8 ];3:6-9
Available from: http://www.afrijiac.org/article.asp?issn=2468-8452;year=2018;volume=3;issue=1;spage=6;epage=9;aulast=Muhammad;type=0