72 patients with varicocele treatment of male infertility.docVIP

 PAGE \* MERGEFORMAT 6 72 patients with varicocele treatment of male infertility [Keywords:] varicocele, infertility Clinical practice has shown that surgical treatment of varicocele may prevent further damage to testicular involvement, most patients can improve spermatogenesis [1]. In order to further understanding of varicocele on male infertility Semen composition and the impact of the situation, the author 5 years in our hospital to diagnosis and treatment of 72 cases of male infertility with varicocele patients followed up, is summarized below. Clinical data 1. General The group 72 male patients, aged 26 to 32 years, average 29 years old, married or living together more than six months (6 to 38 months, an average of 14 months, the woman is not pregnant, the woman by the gynecological examination no obvious reasons for infertility. The man after 3 Semen routine examination confirmed the meeting oligospermia or asthenozoospermia, simultaneously testis and spermatic vessels ultrasonography, diagnosis of patients associated with varicocele. varicocele bilateral in 11 cases, 61 cases left alone. Press [2] standard indexing, in which 1 degree of varicocele in 15 cases, 43 cases of 2 degrees, 3 degrees in 14 cases. scrotal bulge does not apply to 23 cases, with a small abdomen and perineal discomfort in 12 cases. 2. Treatment The iliac fossa by high retroperitoneal ligation of internal spermatic vein, the patient supine position, continuous epidural anesthesia, the inner Department for 3 ~ 5 cm long incision external oblique key film, blunt isolated abdominal oblique muscle and transverse abdominal muscle, transverse fascia, pushed to the inside of the peritoneum to expose the spermatic vessels, while careful not to push the peritoneum along the spermatic cord into the inside of the spermatic vein to avoid finding problems. coarse fine cord veins often one can also be up to 3 ~ 4, carefully separating each vein, double ligation, removal of th