Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study

Abstract objective: To compare our novel loupe-assisted varicocelectomy (LV) technique to the ‘gold standard’ demanding microscopic varicocelectomy (MV) technique for the management of varicoceles. Patient and methods: Our LV technique, featuring testicular delivery and proximal spermatic cord occlu...

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Autores principales:	Mohammad H. Alkandari, Adel Al-Hunayan
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Loupe-assisted Microscopic Varicocelectomy Guidelines Tourniquet Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/4e179b3a0867402392c97f3e429bbea1
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spelling	oai:doaj.org-article:4e179b3a0867402392c97f3e429bbea12021-12-02T10:50:51ZVaricocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study2090-598X10.1016/j.aju.2016.12.002https://doaj.org/article/4e179b3a0867402392c97f3e429bbea12017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300037https://doaj.org/toc/2090-598XAbstract objective: To compare our novel loupe-assisted varicocelectomy (LV) technique to the ‘gold standard’ demanding microscopic varicocelectomy (MV) technique for the management of varicoceles. Patient and methods: Our LV technique, featuring testicular delivery and proximal spermatic cord occlusion using a tourniquet, has not been used before nor to our knowledge has it been reported in the literature. In the LV group, inguinal incision was done prior to testicular delivery and spermatic cord occlusion. Pampiniform and gubernacular veins were identified then tackled. Proximal spermatic cord occlusion helped in identifying those veins, and not confusing them with other cord structures that should be preserved. In all, 95 infertile men were included in this prospective, comparative study; and divided into LV and MV groups. They were followed-up for 1 year, pregnancy achievement, improvements in semen parameters, and complication rates were assessed. Results: Both groups had statistically significant pregnancy rates and negligible complication rates. However, LV cost 33% less than MV and was quicker to perform. We did not find that the MV technique was better than our simple, more cost-effective, less time-consuming LV technique. Conclusion: Our novel LV technique has similar success and complication rates as the ‘gold standard’ MV technique for the management of varicoceles, and is more cost-effective and less time consuming.Mohammad H. AlkandariAdel Al-HunayanTaylor & Francis GrouparticleLoupe-assistedMicroscopicVaricocelectomyGuidelinesTourniquetDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 74-77 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Loupe-assisted Microscopic Varicocelectomy Guidelines Tourniquet Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Loupe-assisted Microscopic Varicocelectomy Guidelines Tourniquet Diseases of the genitourinary system. Urology RC870-923 Mohammad H. Alkandari Adel Al-Hunayan Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study
description	Abstract objective: To compare our novel loupe-assisted varicocelectomy (LV) technique to the ‘gold standard’ demanding microscopic varicocelectomy (MV) technique for the management of varicoceles. Patient and methods: Our LV technique, featuring testicular delivery and proximal spermatic cord occlusion using a tourniquet, has not been used before nor to our knowledge has it been reported in the literature. In the LV group, inguinal incision was done prior to testicular delivery and spermatic cord occlusion. Pampiniform and gubernacular veins were identified then tackled. Proximal spermatic cord occlusion helped in identifying those veins, and not confusing them with other cord structures that should be preserved. In all, 95 infertile men were included in this prospective, comparative study; and divided into LV and MV groups. They were followed-up for 1 year, pregnancy achievement, improvements in semen parameters, and complication rates were assessed. Results: Both groups had statistically significant pregnancy rates and negligible complication rates. However, LV cost 33% less than MV and was quicker to perform. We did not find that the MV technique was better than our simple, more cost-effective, less time-consuming LV technique. Conclusion: Our novel LV technique has similar success and complication rates as the ‘gold standard’ MV technique for the management of varicoceles, and is more cost-effective and less time consuming.
format	article
author	Mohammad H. Alkandari Adel Al-Hunayan
author_facet	Mohammad H. Alkandari Adel Al-Hunayan
author_sort	Mohammad H. Alkandari
title	Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study
title_short	Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study
title_full	Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study
title_fullStr	Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study
title_full_unstemmed	Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study
title_sort	varicocelectomy: modified loupe-assisted versus microscopic technique – a prospective comparative study
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/4e179b3a0867402392c97f3e429bbea1
work_keys_str_mv	AT mohammadhalkandari varicocelectomymodifiedloupeassistedversusmicroscopictechniqueaprospectivecomparativestudy AT adelalhunayan varicocelectomymodifiedloupeassistedversusmicroscopictechniqueaprospectivecomparativestudy
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Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study

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