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All Journal Asian Journal of Healthcare Analytics
Sinaga, Maeike Grestiana
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Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Microsurgical versus Conventional Inguinal Varicocelectomy: A Systematic Review of Fertility Outcomes and Recurrence Risk Putra, Bobby Aksanda; Sibarani, Benly Levi Andreas; Sinaga, Maeike Grestiana
Asian Journal of Healthcare Analytics Vol. 4 No. 2 (2025): November 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v4i2.15750

Abstract

Infertility affects 8–12% of couples, with varicocele being the most common correctable male factor. Microsurgical subinguinal varicocelectomy offers better reproductive results than conventional or laparoscopic techniques. To compare fertility outcomes and recurrence rates between microsurgical and conventional varicocelectomy (2020–2025). A systematic review of 371 articles identified 9 eligible studies assessing semen quality, pregnancy rate, hydrocele, and recurrence. Microsurgical varicocelectomy showed greater improvements in semen parameters and natural pregnancy rates, along with lower hydrocele and recurrence. Sperm count increased by 7.7 ± 4.5 million/mL. Microsurgical subinguinal varicocelectomy is safer and more effective, and remains the preferred approach for varicocele management in infertile men.
Co-Authors Putra, Bobby Aksanda Sibarani, Benly Levi Andreas