Đặc điểm lâm sàng, cận lâm sàng của bệnh nhân giãn tĩnh mạch tinh được vi phẫu thuật tại Bệnh viện Đa khoa Bắc Ninh số 2

Varicocele is a common urological condition characterized by the abnormal dilation of testicular veins, often associated with male infertility and chronic scrotal pain. Its prevalence, particularly in adult males, underscores the importance of thoroughly understanding its clinical and paraclinical manifestations to optimize diagnosis and management. This study aims to investigate the specific clinical and paraclinical characteristics of patients diagnosed with varicocele who underwent microsurgical treatment at Bac Ninh General Hospital No. 2, providing crucial local data that can inform treatment protocols and patient care pathways for this significant male health issue.

Medical professionals, especially urologists and general surgeons, researchers in male reproductive health, and healthcare administrators.

This cross-sectional descriptive study analyzed the clinical and paraclinical characteristics of 70 varicocele patients treated with microsurgery at Bac Ninh General Hospital No. 2 from January 2019 to December 2024. The research aimed to provide a comprehensive profile of patients presenting with this condition. Key findings revealed that the mean age of patients was 28.6 ± 8.5 years, with the majority being under 30 years old, highlighting its common occurrence in younger individuals. All patients reported scrotal pain as their primary reason for seeking medical attention, with 54.3% also self-palpating a dilated pampiniform plexus. Varicocele predominantly affected the left side (87.2%) and was most frequently classified as Grade III (47.2%) based on clinical examination. Preoperative scrotal ultrasonography showed a mean venous diameter of 2.8 ± 0.7 mm without the Valsalva maneuver and 3.7 ± 0.7 mm with it, indicating significant venous dilation. Hormonal assessments were critical, revealing that 72.9% of patients exhibited decreased testosterone levels pre-surgery, while FSH and LH concentrations generally remained within the normal range. These insights are invaluable for clinical practice at Bac Ninh General Hospital No. 2 and beyond, emphasizing the need for early diagnosis in younger patients presenting with scrotal pain. The high incidence of decreased testosterone underscores the importance of routine hormonal evaluation in varicocele management. The study's detailed characterization of varicocele, including clinical presentation, ultrasound findings, and hormonal profiles, contributes significantly to understanding the local patient population and refining microsurgical treatment strategies, potentially improving outcomes for male reproductive health.