Impact of intra-operative doppler ultrasound assistance during microsurgical varicocelectomy on operative outcome and sperm parameters

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dc.authoridCüneyd Sevinç / 0000-0002-6321-5143
dc.authorscopusidCüneyd Sevinç / 56915806300
dc.authorwosidCüneyd Sevinç / AAG-1502-2021
dc.contributor.authorÖzkaptan, Orkunt
dc.contributor.authorBalaban, Muhsin
dc.contributor.authorSevinç, Cüneyd
dc.contributor.authorÇubuk, Alkan
dc.contributor.authorŞahan, Ahmet
dc.contributor.authorAkça, Oktay
dc.date.accessioned2020-08-30T20:06:11Z
dc.date.available2020-08-30T20:06:11Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractThe microsurgical varicocelectomy is the gold standard treatment with a low recurrence rate and less postoperative complications. We compared the surgical outcomes and difficulty in intra-operative vascular Doppler ultrasound-assisted microscopic varicocelectomy (IVDU-MV) with MV in primary and recurrent varicocele. A total of 228 infertile patients with clinically palpable varicocele were included in the study. One hundred fifteen patients were operated on with the standard MV approach, whereas the other 113 patients were operated on with IVDU-MV. Perioperative outcomes, sperm parameters and operative difficulty of the procedure were evaluated. The operative times were significantly shorter for the IVDU-MV group for primary and recurrent varicocele (p = .001). Mean number of veins ligated for primary and recurrent varicocele was significantly higher in the IVDU-MV group than in the MV group (6 +/- 1.4 vs. 4.8 +/- 1.8 and 3.7 +/- 0.9 vs. 2.9 +/- 1.2; p < .01). The increase in mean sperm motility was significantly higher in the IVDU-MV group for both primary and recurrent varicocelectomy patients (p < .05). A significant number of IVDU-MV procedures were described as easy in both primary and recurrent varicocelectomy procedures (p = .006). The use of Doppler ultrasound(US) revealed advantages in ligating veins, preserving arteries and improving sperm motility and facilitates the operation for the surgeon, especially during recurrent varicocele repair.en_US
dc.identifier.citationÖzkaptan, O., Balaban, M., Sevinc, C., Çubuk, A., Sahan, A., & Akca, O. (2020). Impact of intra‐operative doppler ultrasound assistance during microsurgical varicocelectomy on operative outcome and sperm parameters. Andrologia, e13641.en_US
dc.identifier.doi10.1111/and.13641en_US
dc.identifier.issn0303-4569en_US
dc.identifier.issn1439-0272en_US
dc.identifier.issue7en_US
dc.identifier.pmid32379354en_US
dc.identifier.scopus2-s2.0-85085137386en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1111/and.13641
dc.identifier.urihttps://hdl.handle.net/20.500.12713/412
dc.identifier.volume52en_US
dc.identifier.wosWOS:000530729800001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSevinç, Cüneyden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofAndrologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFertilityen_US
dc.subjectIntra-Operative Doppler Ultrasounden_US
dc.subjectMicrovaricocelectomyen_US
dc.subjectOperative Outcomeen_US
dc.titleImpact of intra-operative doppler ultrasound assistance during microsurgical varicocelectomy on operative outcome and sperm parametersen_US
dc.typeArticleen_US

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