Comparison of the Therapeutic Effects of Varicocele Treated by Varicocele Ligation Under Different Microscope Approaches
YANG Fan
ZHENG Tao
ZHANG Tianbiao
LÜ Kunlong
WANG Rui
Abstract：Objective To compare the clinical efficacy of varicocele(VC)treated with different approaches of varicocele ligation under microscope.Methods This study included 100 VC patients who underwent microsurgical varicocele ligation treatment at the First Affiliated Hospital of Zhengzhou University from January 2021 to May 2023.The control group(50 cases)underwent inguinal approach surgery,the observation group(50 cases)underwent surgery through the outer ring approach,and both groups completed a 6-month follow-up after surgery.The data of the patients were retrospectively collected and analyzed,including perioperative indicators,semen quality parameters,sex hormone levels[follicle-stimulating hormone(FSH),testosterone(T),luteinizing hormone(LH)],complications within 2 weeks after the operation,and the recurrence of VC during the 6-month follow-up period after the operation.Results Compared with the control group,the observation group had a longer surgical time(P＜0.05).There was no statistical significant difference in intraoperative bleeding and postoperative exhaust time between the two groups(P＞0.05).At 6 months after surgery,both groups showed an improvement in semen quality,and compared to the control group,the observation group had higher levels of various quality parameters(P＜0.05).The levels of serum FSH and LH decreased in both groups,while the level of serum T increased.Compared with the control group,the observation group had lower levels of serum FSH and LH and higher levels of T(P＜0.05).Compared to the control group,the observation group had a lower overall incidence of postoperative complications(P＜0.05).During the follow-up period,there were no cases of recurrence in both groups.Conclusion Compared with microsurgical inguinal varicocele ligation,external ring varicocele ligation has a longer treatment time for VC,but it has a better improvement effect on semen quality and is more conducive to the recovery of postoperative sex hormone levels.In addition,the incidence of postoperative complications in patients is low,and the safety is relatively ideal.
Keywords：varicocelevaricocele ligation surgeryinguinal approachouter ring approachcurative effect
Publication Date：2025-08-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 2952-2955 )