High incidence of varicocele among young men in Public Police Hospital Denpasar, Bali, Indonesia: a descriptive study
- PDF |
- DOI: https://doi.org/10.15562/bmj.v8i3.1617 |
- Published: 2019-12-01
Open Access & Peer Reviewed Multidisciplinary
Journal of Medical Sciences
Journal of Medical Sciences
Abstract
Background: Varicocele is a progressive disease which possibly starts from puberty. When left untreated, it could progress and causes complications such as infertility. Determination on the representative national incidence and characteristic of varicocele has been a hard challenge due to the lack of data on varicocele epidemiological studies, especially in Bali. This study aims to know the characteristic of varicocele patients undergoing varicocelectomy in Bhayangkara Denpasar Hospital from January 2017 to December 2018.Â
Methods: This research is a descriptive retrospective study with cross sectional approach. The population of the study consists of patients who were diagnosed with varicocele and underwent varicocelectomy in Bhayangkara Denpasar Hospital from January 2017 to December 2018. Total sampling method was used. Research data were retrieved by taking the patient’s entire medical record with varicocele in Bhayangkara Denpasar Hospital from January 2017 to December 2018.
Results: Ninty five samples were diagnosed with varicocele and underwent varicocelectomy. The highest percentage among age groups is 15 to 24 years (89.5%), with normal stature (94%), normal weight (86%), asymptomatic (90.5%), left unilateral varicocele (86.%), grade III varicocele (82,1%) and without comorbid (93.8%). The samples underwent varicocelectomy with Ivanissevich procedure (72.8%), operation time of ≤ 60 minutes (95.8%) and length of stay of ≤ 2 days (95.8%).
Conclusion: The high incidence of varicocele in young adulthood is due to a majority of the samples being young police recruitment participants who were accidentally diagnosed during general medical check-up. Early screening on varicocele in the age group of 15 to 24 years is recommended to consider the need of sperm analysis examination and further deciding on the treatment options. One of the options is surgery.
References
- Jensen M, et al. Varicocele and male infertility. Nature Reviews Urology. 2017;14: 523-533
- Clavijo T, et al. Varicocele: prevalence and pathogenesis in adult men. American Society for Reproductive Medicine. 2017;108(3): 364-369
- Alsaikhan K, et al. Epidemiology of Varicocele. Asian Journal of Andrology. 2016;18:179-181.
- Salem M. Dilemma in Teenager Varicocele. Pediatric Nursing, Psychiatric and Surgical Issues. 2015;12:139-148.
- Chiba S. 2016. Clinical Outcomes of Varicocele Repair in Infertile Men: A Review. World J Mens Health. 2016;34(2):101-109.
- Zucchi S, et al. 2005. Treatment of Varicocele: Randomized Prospective Study on Open Surgery Versus Tauber Antegrade Sclerotherapy. Journal of Andrology;26(3):328-332.
- Patrick CW, Alan RB, Joseph GB. Male in Infertility. Campbell’s Urology, Eight Edition. Saunders: Philadelphia; 2016; p. 2384-2388
- Fikri R, Sabilal A. Pregnancy Rate, Semen Analysis and Varicocele Profile in Surabaya. E-Journal Unair. 2017;1(2):22-27.
- Kevin MF, Evan JK. Varicocelectomy in Adolescent Boys: Long-Term Experience With the Palomo Procedure. The Journal of Urology. 2008;180:1657-1660.
- Omar N, et al. Study of inguinal versus retroperitoneal approach in the treatment of varicocele. Menoufia Medical Journal. 2015;28:1-4
- Hosseini K, Nejatifar M, Kabir A. Comparison of the efficacy and safety of palomo, ivanissevich and laparoscopic varicocelectomy in Iranian infertile men with palpable varicocele. Int J Fertil Steril. 2018;12(1):81-87.
How to Cite
Parisudha, R. D., & Suwedagatha, I. G. (2019). High incidence of varicocele among young men in Public Police Hospital Denpasar, Bali, Indonesia: a descriptive study. Bali Medical Journal, 8(3), 803–807. https://doi.org/10.15562/bmj.v8i3.1617
