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COMPARISON OF SURGICAL AND MEDICAL TREATMENT OUTCOMES IN MEN WITH HYPOGONADISM AND VARICOCELE IN CAN THO CITY
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Abstract
Objective: To compare two treatment methods, microsurgery and medical therapy, in male patients with hypogonadism and varicocele. Subjects and Methods: A prospective interventional study with a control group was conducted. The study included 74 patients, of whom 39 underwent microsurgery and 35 were treated with Androgel in Can Tho City. The research period lasted from April 2023 to April 2025. Results: Both methods increased total testosterone levels after 3 months. The average increase in the medical treatment group with Androgel (3.93 ng/mL) was significantly higher than in the surgery group (2.38 ng/mL) (p < 0.001). Microsurgery achieved a 100% success rate in resolving varicocele with a low complication rate (1.4% superficial skin infection). Medical treatment resulted in 2.7% cases of local skin reactions. Conclusion: Microsurgery demonstrates a very high success rate in resolving varicocele with a low complication rate, making it particularly suitable for patients with moderate to severe varicoceles.
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Keywords
male hypogonadism, varicocele, varicocelectomy, Androgel.
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