AB136. Comparison of the outcomes of microscopic varicocelectomy and laparoscopic varicocelectomy

Objectives: To compare and analyze semen quality improvement between the patients with microscopic varicocelectomy and laparoscopic varicocelectomy.

Methods: A total of 291 patients with varicocele were included in this study, of who 176 underwent microscopic varicocelectomy and 115 laparoscopic varicocelectomy. The improvement rates of semen quality and pregnancy rates between the two groups were compared.

Results: The improvement rate of sperm density in microscopic group was significantly higher than that of laparoscopic group (87.6% vs. 73.7%, P=0.006). Spouse pregnancy rate of microscopic group was significantly higher than that of laparoscopic group (45.4% vs. 30.3%, P=0.017).

Conclusions: The effect of microscopic varicocelectomy was superior to that of laparoscopic varicocelectomy.

Keywords: Microscopic varicocelectomy; laparoscopic varicocelectomy; improvement rate