ĐÁNH GIÁ SỰ CẢI THIỆN TÌNH TRẠNG TINH DỊCH ĐỒ SAU ĐIỀU TRỊ GIÃN TĨNH MẠCH TINH VI PHẪU THUẬT VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN XANH PÔN NĂM 2024

Abstract

Objective: This study aimed to evaluate improvements in semen parameters following microsurgical varicocelectomy and to identify related factors in patients treated at Xanh Pon Hospital in 2024. Methods: A descriptive cross-sectional study was conducted on 32 patients with varicocele who underwent microsurgical varicocelectomy at Xanh Pon Hospital. Results: The mean age of patients was 26.3 ± 4.15 years. 9.4% of patients had a BMI below 18, 65.6% had a BMI between 18 and 25, and 25% had a BMI above 25. Varicocele location was predominantly left-sided, observed in 84.4% of cases, with right-sided varicocele in 6.3% and bilateral in 3.1%. Varicocele grading showed that 3.1% of cases were Grade I, 28.1% were Grade II, and 68.8% were Grade III. Postoperatively, semen parameter improvement rates reached 70% at 3 months and 80% at 6 months. Patients with Grade I varicocele had the highest improvement rates, at 80% after 3 months and 90% after 6 months, while those with Grade III varicocele showed the lowest rates of improvement. Patients who underwent surgery promptly upon indication had the most favorable outcomes, with improvement rates of 70% at 3 months and 85% at 6 months. Additionally, patients without testicular atrophy showed higher improvement rates (70% at 3 months and 85% at 6 months) than those with testicular atrophy (40% at 3 months and 60% at 6 months). Lastly, patients under the age of 30 demonstrated the highest rates of improvement in semen parameters. Conclusion: Microsurgical varicocelectomy yielded positive results in improving semen parameters, with improvement rates of 70% at 3 months and 80% at 6 months. Significant recovery in sperm quality was observed following surgery.