The article provides detailed information on varicocele and the role of robotic varicocelectomy in treating it.
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Varicocele is a condition in which there is a pathologic dilation of the testicular veins within the spermatic cord.
The prevalence rate of varicocele is 15 % in adult males. Of those presenting for evaluation of infertility, nearly 35% have varicocele.
The varicocele causes:
Poor development of a testicle.
Low sperm production
Orchialgia (testicular pain)
Disruption of key enzymes of spermatogenesis.
The advantages of varicocele treatment are:
Improvement in semen analyses.
Relief from constant testicular pain
Increase in testosterone levels
The indications of varicocelectomy are:
Infertility due to impaired semen parameters and quality.
Pain in the scrotum
Hypotrophy of testicles
The benefits of robotic varicocelectomy in the treatment of varicocele are:
Elimination of tremors
Precision of surgery
Improvement in sperm count
Resolution of pain
Low failure rate
The robotic arm performs the procedure using small incisions.
Incisions are used and the procedure is carried out under the surgeon's visual inspection.
There is less risk of tissue trauma.
There is a risk of tissue trauma.
Short recovery time.
Long recovery time.
High risk of complications like hematoma, hydrocele, and infection.
No risk of scarring.
Incisions may lead to scarring.
Greater visualization and high precision.
Limited visualization and precision.
Varicoceles are treated by Urologist.
A urologist specializes in diagnosing and treating diseases of the urinary system.
The urinary system includes:
Based on the findings from numerous studies, the following conclusion can be drawn.
The time range in robotic varicocelectomy is 10-150 minutes.
The procedure improves sperm count and mobility.
There is reduced testicular pain.
The types of robotic varicocelectomy are:
Robotic-Assisted Microscopic Varicocelectomy
Robotic-Assisted Laparoscopic Varicocelectom
The steps in robotic varicocelectomy are:
The patient is given general anesthesia.
Positioning of robotic arms and camera.
Small incisions are given in the abdomen
The camera is inserted to provide a 3D view of the surgical site.
Identification of spermatic cord and the veins involved in varicocele.
The robotic instruments isolate and clip the vein.
The blood flow to the veins is then cut off.
Removal of varicocele.
Following robotic varicocelectomy, hospitalization is not required.
Some general post-operative instructions are:
Instructions are given by the surgeon to take care of the wound properly.
Painkillers are prescribed.
Heavy lifting is avoided.
The appointment is scheduled within 4 to 6 months for assessment of sperm quality.