Microsurgery Versus Laparoscopic Surgery for Varicocele: A Meta-Analysis and Systematic Review of Randomized Controlled Trials

References

• Evers JL, Collins JA. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Lancet. 2003;361(9372):1849–52.
   PubMed Web of Science ®Google Scholar
• Evers JL, Collins JA. Surgery or embolisation for varicocele in subfertile men. Cochrane Database Syst Rev. 2004;(3):CD000479.
   Google Scholar
• Ficola F, Ciaccio V. Bilateral and subclinical varicocele: clinical experience. Minerva Chir. 1995;50(11):999–1003.
   PubMedGoogle Scholar
• Chan PT, Goldstein M. Medical backgrounder on varicocele. Drugs Today. 2002;38(1):59–67.
   PubMed Web of Science ®Google Scholar
• Meacham RB, Townsend RR, Rademacher D, Drose JA. The incidence of varicoceles in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography. J Urol. 1994;151(6):1535–8.
   PubMed Web of Science ®Google Scholar
• Isitmangil G, Yildirim S, Orhan I, Kadioglu A, Akinci M. A comparison of the sperm mixed-agglutination reaction test with the peroxidase-labelled protein A test for detecting antisperm antibodies in infertile men with varicocele. BJU Int. 1999;84(7):835–8.
   PubMed Web of Science ®Google Scholar
• Ficarra V, Cerruto MA, Liguori G, et al. Treatment of varicocele in subfertile men: The Cochrane review – a contrary opinion. Eur Urol. 2006;49(2):258–63.
   PubMed Web of Science ®Google Scholar
• Dohle GR, Colpi GM, Hargreave TB, et al. EAU guidelines on male infertility. Eur Urol. 2005;48(5):703–11.
   PubMed Web of Science ®Google Scholar
• Esteves SC, Chan P. A systematic review of recent clinical practice guidelines and best practice statements for the evaluation of the infertile male. Int Urol Nephrol. 2015;47(9):1441–56.
   PubMed Web of Science ®Google Scholar
• Al-Said S, Al-Naimi A, Al-Ansari A, et al. Varicocelectomy for male infertility: a comparative study of open, laparoscopic and microsurgical approaches. J Urol. 2008;180(1):266–70.
   PubMed Web of Science ®Google Scholar
• Al-Kandari AM, Shabaan H, Ibrahim HM, Elshebiny YH, Shokeir AA. Comparison of outcomes of different varicocelectomy techniques: open inguinal, laparoscopic, and subinguinal microscopic varicocelectomy: a randomized clinical trial. Urology. 2007;69(3):417–20.
   PubMed Web of Science ®Google Scholar
• Song T, Wang C, Zhang L, et al. Microscopic versus laparoscopic varicocelectomy in the treatment of varicocele: effects and complications. Zhonghua Nan Ke Xue Za Zhi. 2012;18(4):335–8.
   PubMedGoogle Scholar
• Xie M, Xu Y, Gu W, Li D, Huang R. Curative effects analysis of spermatic vein ligation under microscope and laparoscope for varicocele treatment. Zhonghua Nan Ke Xue Za Zhi. 2011;25(4):45–9.
   Google Scholar
• Qi T, Zhang B, Zhou X, et al. Study on the effect of low-approach microscopic or laparoscopic varicocelectomy in the treatment of varicocele with infertility. Zhonghua Nan Ke Xue Za Zhi. 2009;23(5):49–53.
   Google Scholar
• Cai Z, Yang S. Comparative study of effect of low-approach microscopic and laparoscopic varicocelectomy in treatment of varicocele. Zhonghua Nan Ke Xue Za Zhi. 2012;26(3):49–52.
   Google Scholar
• Fang P, Li B, Zheng S, et al. Efficacy and total cost comparison of different surgical methods for varicocele. Guangdong Med J. 2013;34(15):2397–99.
   Google Scholar
• Pu J, Wu X, Tang W, Chen Z. Comparison of therapeutic effect between microsurgical varicocelectomy and conventional methods in the treatment of primary varicocele. J Chongqing Med Univ. 2014;39(6):816–9.
   Google Scholar
• Ren Y, Wang F, Kong B, Luo L, Wang P, Li S. A Comparative study of low-approach microscopic and Laparoscopic Varicocelectomy in the treatment of varicocele. Int J Urol Nephrol. 2015;35(3):393–7.
   Google Scholar
• Li Y, Luo S, Xu Y, Gu X. Laparoscopic and microsurgical treat varicocele the curative effect of recurrent comparison. Sichuan Med J. 2011;33(10):1551–3.
   Google Scholar
• Lin J. Comparison of laparoscopic and microsurgical varicocelectomy in the treatment of varicocele. China Pract Med. 2015;10(17):124–5.
   Google Scholar
• Feng L, Luo Y, Huang M. Comparison of the effect of ligation of varicocele under lumbar microscope and ligation of laparoscopic varicocele. J Qiqihar Univ Med. 2016;37(12):1518–20.
   Google Scholar
• Zhang Z. Clinical analysis of microscopic and laparoscopic surgery for varicocele. Henan Med Res. 2015;24(11):118.
   Google Scholar
• Lv J-X, Wang L-L, Wei X-D, et al. Effect comparison of spermatic vein ligation under microscope and laparoscope in the treatment of varicocele. China Modern Med. 2016;23(6):e1329–e1373.
   Google Scholar
• Gao J, Jing Z, Liu Y, Feng Z, Wu H. Comparison of therapeutic effect of microsurgical and laparoscopic methods in the treatment of varicocele. China Health Standard Manage. 2015;6(23):53–4.
   Google Scholar
• Yang H. Comparison of the effect of laparoscopic varicocele ligation and varicocele ligation on varicocele. Contemporary Med Symp. 2016;14(12):171–2.
   Google Scholar
• Liu T, Li J, Huo Z, Zhang H, Wen X. Curative effects of spermatic vein ligation under microscope and laparoscope for varicocele treatment. Chin J Hum Sexuality. 2017;26(9):8–10.
   Google Scholar
• Meng J, Li H, Li C. Efficacy evaluation of two minimally invasive procedures for the treatment of varicocele. China Med Herald. 2017;14(15):86–9.
   Google Scholar
• Ba L. Comparison of microscopic and laparoscopic treatment of varicocele. China Health Care Nutr. 2017;27(34):97.
   Google Scholar
• Gao H, Li S. Comparative study of the effect of laparoscopic and microscopic ligation of spermatic vein on reproductive hormones and semen quality in patients with varicocele infertility. Chin Community Doctors. 2017;33(35):58–60.
   Google Scholar
• Yang Z, Ji G, Miao F, et al. Comparison of the results of microsurgical inguinal and transumbilical laparoscopic high ligation in the treatment of varicocele. Chin J Prim Med Pharm. 2017;24(5):765–8.
   Google Scholar
• Niu M, Chen L, Zhao Q, Zhao Z, Wang X. Comparison on the efficacy of laparoscopic and microscopic varicocelectomy in the treatment of varicocele. Chin Prim Health Care. 2017;31(12):114–6.
   Google Scholar
• Su H, Li T, Fan Y, Li X, Zhao G, Zhang H. The effect of four surgical approaches on the semen quality and pregnancy rate in patients with subclinical varicocele. Hebei Med. 2017;23(3):380–4.
   Google Scholar
• Wu X, Liu Q, Zhang R, Wang W, Gao Y. Therapeutic efficacy and safety of laparoscopic surgery versus microsurgery for varicocele of adult males: a meta-analysis. Medicine (Baltimore). 2017;96(34):e7818.
   PubMed Web of Science ®Google Scholar
• Li J, Wu J, Xiang P, Wang X. Efficacy and safety of microsurgery and laparoscopic surgery for varicocele：a meta-analysis with trial sequential analysis. Modern Med J Chin. 2015;10(17):16–22.
   PubMedGoogle Scholar