scholarly journals Antegrade Scrotal Sclerotherapy of Internal Spermatic Veins for Varicocele Treatment: Results and Complications about 660 Cases

2021 ◽  
pp. 1-4
Author(s):  
Jasser Maatougui ◽  
Jasser Maatougui ◽  
Raboudi Mehdi ◽  
Mohamed amine Bakir ◽  
Tarek Taktak ◽  
...  

Introduction: Varicocele is one of the leading causes of male infertility. Anterograde scrotal sclerotherapy (ASS) is one of the most recent techniques. Our objective is to evaluate the results of ASS in the treatment of varicocele in adults. Methods: This is a descriptive and analytical study of 660 patients treated for varicocele causing either a picture of hypofertility and/or symptomatic during the period from January 2008 to December 2018. Preoperative, intraoperative and postoperative data were analysed. Results: The average age was 30. The average duration of the intervention was 16 minutes (13-50 mins) and the average length of hospitalization was 19 hours (9-36 hours). We noticed a statistically significant improvement in all characteristics on the postoperative spermogram. Oligospermia increased from 41% to 29% (p=0.01), asthenospermia increased from 52% to 33% (p=0.02) and teretospermia from 24% to 14% (p=0.006). The paternity rate among hypofertile men was 22%. The disappearance of varicocele in postoperative was objectified in 588 patients (84%), the disappearance of scrotal pain in 322 patients (48%). Complications were identified in 70 patients (10.6%) hydrocele (27 patients, 4%), scrotal hematoma (14 patients), chemical orchitis (20 patients) and testicular atrophy (9 patients). A recurrence was noted in 73 patients (11%) at 9 months. Conclusion: SSA appears to be a reliable and reproducible technique in the treatment of varicocele, with significantly less morbidity in comparison with other techniques. We recommend it as a first-line treatment.

2020 ◽  
pp. 58-60
Author(s):  
I. N. Medvedeva ◽  
K. A. Nozdracheva ◽  
A. D. Khizhnyak

The purpose of the study. Safety assessment for expansion of caesarean section to myomectomy. Materials and techniques. A retrospective analysis was conducted of the birth histories of 44 patients with uterine myoma with extension of caesarean section to myomectomy. Results. The average duration of the operation was 54.3 ± 23.7 minutes. Significant inversive complications were not registered. Average blood loss amounted to 661.4 ± 193.2 ml, that does not exceed the generally accepted blood loss limits of standard caesarean section surgery. Post-operative period was without features. The average length of hospitalization was 7.0 ± 1.5 days. Conclusion. Expansion of the operation caesarean section to myomectomy does not significantly affect intraoperative blood loss, post-operative haemoglobin and hematocrit of the blood, provided there were no reductions in these rates before operation. Hospitalization time does not increase significantly. The post-operative period primarily runs without complications.


2014 ◽  
Vol 33 (3) ◽  
pp. 147-151 ◽  
Author(s):  
Irene Biasoli ◽  
Marina Cesaretti ◽  
Monica Bellei ◽  
Antonino Maiorana ◽  
Goretta Bonacorsi ◽  
...  

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