A CLINICAL STUDY OF VARIOUS PRESENTATION AND TREATMENT OUTCOME OF VARICOCELE
Main Article Content
Keywords
Varicocele, laparoscopy, scrotal pain, infertility, semen analysis, complications
Abstract
Backgrounds
Despite being first described two thousand years ago, the varicocele remains a controversial multifaceted disease process with numerous biological consequences including infertility, hypogonadism, and chronic orchidalgia. Despite a high prevalence amongst asymptomatic fertile men, varicoceles paradoxically also represent the most common correctable cause for male infertility.
Objectives
The objective of the study is to study the various clinical presentation and treatment outcome of varicocele.
Methods
A prospective clinical study was undertaken at K.R. Hospital attached to Mysore Medical College and Research Institute, Mysore to observe and document the various clinical presentation and treatment outcome of varicocele.
Results
Varicocele was more prevalent among the 3rd decade in our study. Infertility was the most prevalent presentation (46%) followed by scrotal pain / discomfort (44%) among study population. 10% of our study population was asymptomatic. In our study, on USG of scrotum, 40 patients (80%) had Grade 4 varicocele, 8 (16%) had Grade 3 and 2 patients (4%) had grade 2 varicocele and 42 patients had abnormal semen analysis. On comparison of USG grading with the semen analysis, 81% of the patients with abnormal semen analysis had Grade 4 varicocele.(p<0.05), 3 patients had hydrocele as complication of the surgery.
Conclusion
The present study concludes that infertility and scrotal discomfort were the most prevalent complaints on presentation. Grade 4 varicocele was prevalent among the symptomatic patients and patients with abnormal semen analysis. All the surgical approaches were equally effective with only 3 cases of hydrocele development in subinguinal approach. 54% of the patients had improved symptoms after surgery.
References
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Dr. Rajesh T.S.
Associate Professor, Department of Neurosurgery, MMC & RI, Mysore, Karnataka, India.
Dr. Surendra Mohan H.M
Assistant Professor, Department of Urology, MMC & RI, Mysore, Karnataka, India.
Dr. Prasad H.L
Associate Professor, Department of Urology, MMC & RI, Mysore, Karnataka, India.
Dr. Rama Krishna M.
Postgraduate, Department of General surgery, MMC & RI, Mysore, Karnataka, India.