La varicocèle de l’adulte: aspects anatomo-cliniques et resultats therapeutiques au service d’urologie-andrologie du CHU de Conakry, Guinee

Conclusion La varicocèle est une pathologie fréquente dans notre pratique quotidienne; l’infertilité du couple en est la forme de découverte la plus fréquente. Le profil spermatique est celui d’une oligoasthénotératozoospermie. La cure chirurgicale améliore de façon significative la fertilité des patients hypofertiles. Objective To describe the clinical aspects of varicocele and to evaluate the outcome of its treatment at the Department of Urology and Andrology of Conakry University Hospital, Republic of Guinea. Patients and Methods This prospective study included 119 patients with varicocele operated on at the Department of Urology and Andrology of Conakry University Hospital over a one-year period. Clinically, the varicoceles were classified into four grades according to the classification of Dubin and Amelar. All patients received at least one semen analysis pre- and postoperatively. Results The mean age of the patients was 38 (range 22–53) years. In 80.7% (n=96) of the cases the varicocele was detected in the course of an infertility consultation. The varicocele was located on the left side in 84.9% (n=101) of the cases, while it was bilateral in 15.1% (n=18). Preoperative semen analysis was normal in 5% of the cases. Oligo-astheno-teratozoospermia seen in 46.2% (n=55) of the patients was the most frequently found anomaly. All patients underwent surgical treatment using the Ivanissevich procedure. After a mean follow up of 17 months conducted on 113 ...
Source: African Journal of Urology - Category: Global & Universal Source Type: research