[Comparative evaluation of a current method of treating varicocele]

Abstract

To compare two methods of varicocele treatment--ligation and reconstruction--two groups of patients with left-sided varicocele of three different grades were compared. In group 1 (n = 108) a ligation of all visible veins of the seminal cord was performed. In group 2 (n = 310) a microsurgical reconstruction was made by an original technique developed in experiment: connection of the distal end of the lower epigastric vein and then joining the remaining open ends of the same veins. In group 1 signs of varicocele disappeared in 68%, in group 2--in 99.4% patients. Impregnation of wives was achieved in 31.6 and 74% of the couples, respectively. The results of both methods are discussed.