Evidence map›Paper›PMID 38782814›Full record

ArticleInternational urology and nephrology2024

Microscopic internal spermatic-inferior epigastric vein anastomosis for treating left varicocele.

Ke Dou, Qi Yang, Tao Song, Xincheng Zeng, Juncheng Yao, Yutao Li

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ke Dou *Department of Urology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.
Qi Yang *Department of Urology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.
Tao SongDepartment of Urology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.
Xincheng ZengDepartment of Urology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.
Juncheng YaoDepartment of Assisted Reproduction Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, No.32, Section 2, West 1 Ring Road, Qingyang District, Chengdu, 610041, Sichuan, China.
Yutao LiDepartment of Assisted Reproduction Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, No.32, Section 2, West 1 Ring Road, Qingyang District, Chengdu, 610041, Sichuan, China. wangjiaa0420@sina.com.

Funding

ichuan Province Science and Technology Department Foundation 2023YFS0174
6 · The paper itself

Abstract

objectiveTo evaluate the clinical efficacy of microscopic internal spermatic-inferior epigastric vein anastomosis in the treatment of left varicocele and compare it with microscopic spermatic vein ligation for the same condition.

methodsA retrospective analysis of 74 patients with left varicocele between July 2020 and July 2022 was performed. The patients were divided into two groups based on the surgical method used. Group A consisted of 37 patients who underwent microscopic internal spermatic-inferior epigastric vein anastomosis, while Group B consisted of 37 patients who underwent microscopic spermatic vein ligation. Comparison of preoperative and postoperative semen quality, reproductive hormone levels, scrotal ultrasound results, duration of surgery, length of hospital stay, postoperative recurrence rate, and occurrence of complications with a follow-up time of 12 mo between two groups.

resultsBoth groups showed significant improvements in semen quality and serum reproductive hormone levels. The Group A demonstrated significantly improved sperm forward motility compared to Group B, but had longer operation times and hospital stays (P < 0.05). After 1 year of follow-up, 8 partners in Group A and 6 partners in Group B achieved natural conception, with no significant difference between the two groups. There were no recurrences observed in either group during the follow-up period, and no significant statistical differences were found in other postoperative observation indicators.

conclusionsBoth microscopic internal spermatic-inferior epigastric vein anastomosis and microscopic spermatic vein ligation are effective surgical methods for treating left varicocele. Anastomosis surgery provides greater improvement in sperm motility, although it is associated with longer operation times and hospital stays.

Indexed as

Anastomosis, SurgicalMicrosurgerySpermatic CordVaricoceleVeinsAdultHumansMaleRetrospective StudiesTreatment OutcomeUrologic Surgical Procedures, MaleYoung AdultMicrosurgical varicocelectomyShunt surgeryVaricocele

Identifiers

PMID38782814

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.