Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes
Objective. To investigate the question of whether duration of pain before surgery ultimately affects sperm parameters after varicocelectomy. Methods. Fifty patients with painful grade-3 varicocele were investigated prospectively. The patients were divided into two groups according to their symptom p...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/370969 |
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| author | Mustafa Gökhan Köse Kadir Önem Mehmet Çetinkaya Erkan Karadağ Emre Arpali |
| author_facet | Mustafa Gökhan Köse Kadir Önem Mehmet Çetinkaya Erkan Karadağ Emre Arpali |
| author_sort | Mustafa Gökhan Köse |
| collection | DOAJ |
| description | Objective. To investigate the question of whether duration of pain before surgery ultimately affects sperm parameters after varicocelectomy. Methods. Fifty patients with painful grade-3 varicocele were investigated prospectively. The patients were divided into two groups according to their symptom period. The patients having had grade-3 varicocele for less than 1 year were included in Group-1 (Ge, n=25). Twenty-five patients who had painful grade-3 varicocele for more than 1 year (Gs, n=25) were classified in Group-2. Semen analysis was performed after 3 days of sexual abstinence twice a month. Total sperm concentration (TSC), rapidly progressive motility (SPa), and slow or sluggish motility (SPb) rates were noted. Pain was evaluated by using 10 cm visual analogue scale (VAS). Results. Postoperative TSC and %SPb were significantly higher in both groups (P=0.01). There was no difference between two groups for preoperative and postoperative TSC, %SPa, % and SPb values. VAS significantly declined in both groups (P=0.005). This postoperative decline was not significant for intergroup comparison. Conclusions. Our results show that increase in semen quality and decrease in the pain after microsurgery varicocelectomy do not depend on the duration of the preoperative pain. |
| format | Article |
| id | doaj-art-d4fb79e3d4d34d6a87bec9d352be64d7 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-d4fb79e3d4d34d6a87bec9d352be64d72025-02-03T01:04:49ZengWileyAdvances in Urology1687-63691687-63772013-01-01201310.1155/2013/370969370969Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy OutcomesMustafa Gökhan Köse0Kadir Önem1Mehmet Çetinkaya2Erkan Karadağ3Emre Arpali4Department of Urology, Baskent University School of Medicine, Ankara, TurkeyDepartment of Urology, 19 Mayıs University School of Medicine, Samsun, TurkeyDepartment of Urology, Mugla University School of Medicine, Mugla, TurkeyDepartment of Urology, Ankara Mevki Military Hospital, Ankara, TurkeyDepartment of Urology, Ankara Mevki Military Hospital, Ankara, TurkeyObjective. To investigate the question of whether duration of pain before surgery ultimately affects sperm parameters after varicocelectomy. Methods. Fifty patients with painful grade-3 varicocele were investigated prospectively. The patients were divided into two groups according to their symptom period. The patients having had grade-3 varicocele for less than 1 year were included in Group-1 (Ge, n=25). Twenty-five patients who had painful grade-3 varicocele for more than 1 year (Gs, n=25) were classified in Group-2. Semen analysis was performed after 3 days of sexual abstinence twice a month. Total sperm concentration (TSC), rapidly progressive motility (SPa), and slow or sluggish motility (SPb) rates were noted. Pain was evaluated by using 10 cm visual analogue scale (VAS). Results. Postoperative TSC and %SPb were significantly higher in both groups (P=0.01). There was no difference between two groups for preoperative and postoperative TSC, %SPa, % and SPb values. VAS significantly declined in both groups (P=0.005). This postoperative decline was not significant for intergroup comparison. Conclusions. Our results show that increase in semen quality and decrease in the pain after microsurgery varicocelectomy do not depend on the duration of the preoperative pain.http://dx.doi.org/10.1155/2013/370969 |
| spellingShingle | Mustafa Gökhan Köse Kadir Önem Mehmet Çetinkaya Erkan Karadağ Emre Arpali Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes Advances in Urology |
| title | Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes |
| title_full | Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes |
| title_fullStr | Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes |
| title_full_unstemmed | Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes |
| title_short | Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes |
| title_sort | influence of preoperative pain duration on microsurgical varicocelectomy outcomes |
| url | http://dx.doi.org/10.1155/2013/370969 |
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