The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Chencheng Yao - One of the best experts on this subject based on the ideXlab platform.
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microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping
Asian Journal of Andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (<3 months). Of the remaining 254 patients, 73 had oligoasthenospermia, 121 had nonobstructive azoospermia, and 60 had symptomatic varicoceles. Total progressive sperm counts increased in the oligoasthenospermic patients from a median preoperative value of 9.15 × 106 ml-1 to 25.33 × 106 ml-1 (n= 34), and 35.6% (26/73) initially oligoasthenospermic men contributed to unassisted pregnancies. Sperm returned to the ejaculate in 12.4% (15/121) azoospermia patients. In patients with scrotal pain (n = 60), 43 (71.7%) reported complete resolution of pain, 16 (26.7%) reported partial resolution, and 1 (1.7%) reported no change. No patients experienced varicocele recurrence. This double-traction strategy avoids opening the external oblique aponeurosis, and results in less damage and faster recovery. In addition, the Stripping strategy eliminates potential damage to the testis caused by the varicose Veins. Our results showed that microsurgical subinguinal varicocelectomy using spermatic cord double traction in conjunction with testicular delivery for Vein Stripping is a safe and effective approach for varicocele repair.
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Microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping.
Asian journal of andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (
Ruhui Tian - One of the best experts on this subject based on the ideXlab platform.
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microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping
Asian Journal of Andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (<3 months). Of the remaining 254 patients, 73 had oligoasthenospermia, 121 had nonobstructive azoospermia, and 60 had symptomatic varicoceles. Total progressive sperm counts increased in the oligoasthenospermic patients from a median preoperative value of 9.15 × 106 ml-1 to 25.33 × 106 ml-1 (n= 34), and 35.6% (26/73) initially oligoasthenospermic men contributed to unassisted pregnancies. Sperm returned to the ejaculate in 12.4% (15/121) azoospermia patients. In patients with scrotal pain (n = 60), 43 (71.7%) reported complete resolution of pain, 16 (26.7%) reported partial resolution, and 1 (1.7%) reported no change. No patients experienced varicocele recurrence. This double-traction strategy avoids opening the external oblique aponeurosis, and results in less damage and faster recovery. In addition, the Stripping strategy eliminates potential damage to the testis caused by the varicose Veins. Our results showed that microsurgical subinguinal varicocelectomy using spermatic cord double traction in conjunction with testicular delivery for Vein Stripping is a safe and effective approach for varicocele repair.
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Microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping.
Asian journal of andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (
Liangyu Zhao - One of the best experts on this subject based on the ideXlab platform.
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microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping
Asian Journal of Andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (<3 months). Of the remaining 254 patients, 73 had oligoasthenospermia, 121 had nonobstructive azoospermia, and 60 had symptomatic varicoceles. Total progressive sperm counts increased in the oligoasthenospermic patients from a median preoperative value of 9.15 × 106 ml-1 to 25.33 × 106 ml-1 (n= 34), and 35.6% (26/73) initially oligoasthenospermic men contributed to unassisted pregnancies. Sperm returned to the ejaculate in 12.4% (15/121) azoospermia patients. In patients with scrotal pain (n = 60), 43 (71.7%) reported complete resolution of pain, 16 (26.7%) reported partial resolution, and 1 (1.7%) reported no change. No patients experienced varicocele recurrence. This double-traction strategy avoids opening the external oblique aponeurosis, and results in less damage and faster recovery. In addition, the Stripping strategy eliminates potential damage to the testis caused by the varicose Veins. Our results showed that microsurgical subinguinal varicocelectomy using spermatic cord double traction in conjunction with testicular delivery for Vein Stripping is a safe and effective approach for varicocele repair.
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Microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping.
Asian journal of andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (
Huixing Chen - One of the best experts on this subject based on the ideXlab platform.
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microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping
Asian Journal of Andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (<3 months). Of the remaining 254 patients, 73 had oligoasthenospermia, 121 had nonobstructive azoospermia, and 60 had symptomatic varicoceles. Total progressive sperm counts increased in the oligoasthenospermic patients from a median preoperative value of 9.15 × 106 ml-1 to 25.33 × 106 ml-1 (n= 34), and 35.6% (26/73) initially oligoasthenospermic men contributed to unassisted pregnancies. Sperm returned to the ejaculate in 12.4% (15/121) azoospermia patients. In patients with scrotal pain (n = 60), 43 (71.7%) reported complete resolution of pain, 16 (26.7%) reported partial resolution, and 1 (1.7%) reported no change. No patients experienced varicocele recurrence. This double-traction strategy avoids opening the external oblique aponeurosis, and results in less damage and faster recovery. In addition, the Stripping strategy eliminates potential damage to the testis caused by the varicose Veins. Our results showed that microsurgical subinguinal varicocelectomy using spermatic cord double traction in conjunction with testicular delivery for Vein Stripping is a safe and effective approach for varicocele repair.
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Microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping.
Asian journal of andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (
Chao Yang - One of the best experts on this subject based on the ideXlab platform.
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microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping
Asian Journal of Andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (<3 months). Of the remaining 254 patients, 73 had oligoasthenospermia, 121 had nonobstructive azoospermia, and 60 had symptomatic varicoceles. Total progressive sperm counts increased in the oligoasthenospermic patients from a median preoperative value of 9.15 × 106 ml-1 to 25.33 × 106 ml-1 (n= 34), and 35.6% (26/73) initially oligoasthenospermic men contributed to unassisted pregnancies. Sperm returned to the ejaculate in 12.4% (15/121) azoospermia patients. In patients with scrotal pain (n = 60), 43 (71.7%) reported complete resolution of pain, 16 (26.7%) reported partial resolution, and 1 (1.7%) reported no change. No patients experienced varicocele recurrence. This double-traction strategy avoids opening the external oblique aponeurosis, and results in less damage and faster recovery. In addition, the Stripping strategy eliminates potential damage to the testis caused by the varicose Veins. Our results showed that microsurgical subinguinal varicocelectomy using spermatic cord double traction in conjunction with testicular delivery for Vein Stripping is a safe and effective approach for varicocele repair.
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Microsurgical subinguinal varicocelectomy with spermatic cord double traction and Vein Stripping.
Asian journal of andrology, 2020Co-Authors: Ruhui Tian, Liangyu Zhao, Huixing Chen, Chao Yang, Yuhua Huang, Zhong Wan, Erlei Zhi, Chencheng YaoAbstract:We retrospectively reviewed data for 286 patients with varicocele who underwent microsurgical subinguinal varicocelectomy from March 2015 to May 2017 in Shanghai General Hospital (Shanghai, China). In this surgical approach, the testis was delivered, and the gubernacular and external cremasteric Veins were stripped. In addition, the spermatic cord was delivered downward with continuous double traction away from the external ring. The remaining procedure was similar to the conventional approach. We followed patients for at least 3 months and evaluated postoperative semen parameters, pain symptoms, and complications. We excluded data for 32 men due to inadequate follow-up (
