Journal of Peking University(Health Sciences) ›› 2014, Vol. 46 ›› Issue (4): 541-543.

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Comparison of the outcomes of microscopic varicocelectomy and laparoscopic varicocelectomy

PENG Jing1*, LONG Hai2*, YUAN Yi-ming1, CUI Wan-shou1, ZHANG Zhi-cao1△,PAN Wen-bo2   

  1. (1. Andrology Center, Peking University First Hospital, Beijing 100034, China; 2. Department of Urology, Qinzhou
    Second People’s Hospital, Guangxi Qinzhou 535000, China)
  • Online:2014-08-18 Published:2014-08-18

Abstract: Objective:To compare and analyze semen quality improvement between the patients with microscopic varicocelectomy and laparoscopic varicocelectomy. Methods: A total of 291 patients with varicocele were included in this study, of whom 176 underwent microscopic varicocelectomy and 115 laparoscopic varicocelectomy. The improvement rates of semen quality and pregnancy rates between the two groups were compared.Results: The improvement rate of sperm density in microscopic group was significantly higher than that of laparoscopic group (87.6% vs. 73.7%, P=0.006). Spouse pregnancy rate of microscopic group was significantly higher than that of laparoscopic group (45.4% vs. 30.3%, P=0.017). Conclusion: The effect of microscopic varicocelectomy was superior to that of laparoscopic varicocelectomy.

Key words: Varicocele, Microsurgery, Laparoscopy, Urogenital surgical procedures

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