Beneficios de la varicocelectomía asociado a la fertilidad masculina según los factores de riesgo
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Introducción: Un varicocele se describe como venas tortuosas y agrandadas patológicamente del plexo pampiniforme, lo que lleva a un aumento de la temperatura testicular y al reflujo del metabolito suprarrenal hacia los testículos. El varicocele puede alterar la espermatogénesis y se considera la causa más común de infertilidad masculina. La reparación quirúrgica del varicocele a través de la varicocelectomía puede inducir una mejora en la calidad del semen mejorando la fertilidad. Objetivo: el presente trabajo de investigación tiene por objetivo principal determinar los beneficios de la varicocelectomía asociada a la fertilidad masculina según los factores de riesgo. Metodología: Para realizar la presente investigación se utilizará un tipo analítico – correlacional siguiendo un diseño no experimental y transversal, la cual se realizó en el Hospital Los Ceibos Norte del Instituto Ecuatoriano de Seguridad Social, ubicado en la avenida del Bombero de la ciudad de Guayaquil, durante el periodo transcurrido entre el periodo 2017 y 2019. Resultados: Se pudo identificar que la ubicación más frecuente en relación al varicocele fue la izquierda correspondiendo al 47% de los casos, seguido del lado derecho con un 27%. El 42% tuvo varicocele grado II, siendo el 25% la mayoría con esta condición en el lado izquierdo. Conclusión: Finalmente, la mayoría de los casos fueron de grado II y localizados en el lado izquierdo, sin embargo, las personas que tenían grado III se le tiene que dar seguimiento de manera oportuna para mejorar su condición.
Palabras clave: varicocele, fertilidad, varicolectomía, factores de riesgo
Introduction: A varicocele is described as pathologically enlarged and tortuous veins of the pampiniform plexus, leading to increased testicular temperature and reflux of the adrenal metabolite into the testes. Varicocele can alter spermatogenesis and is considered the most common cause of male infertility. Surgical repair of varicocele through varicocelectomy can induce an improvement in semen quality, improving fertility. Objective: The main objective of this research work is to determine the benefits of varicocelectomy associated with male fertility according to risk factors. Methodology: To carry out this research, an analytical-correlational type will be used, following a non-experimental and cross-sectional design, which was carried out at the Los Ceibos Norte Hospital of the Ecuadorian Institute of Social Security, located on Avenida del Bombero in the city of Guayaquil. , during the period between 2017 and 2019. Results: It was possible to identify that the most frequent location in relation to the varicocele was the left, corresponding to 47% of the cases, followed by the right side with 27%. 42% had grade II varicocele, the majority being 25% with this condition on the left side. Conclusion: Finally, most of the cases were grade II and located on the left side, however, people who had grade III must be followed up in a timely manner to improve their condition. Keywords: varicocele, fertility, varicolectomy, risk factors
Introduction: A varicocele is described as pathologically enlarged and tortuous veins of the pampiniform plexus, leading to increased testicular temperature and reflux of the adrenal metabolite into the testes. Varicocele can alter spermatogenesis and is considered the most common cause of male infertility. Surgical repair of varicocele through varicocelectomy can induce an improvement in semen quality, improving fertility. Objective: The main objective of this research work is to determine the benefits of varicocelectomy associated with male fertility according to risk factors. Methodology: To carry out this research, an analytical-correlational type will be used, following a non-experimental and cross-sectional design, which was carried out at the Los Ceibos Norte Hospital of the Ecuadorian Institute of Social Security, located on Avenida del Bombero in the city of Guayaquil. , during the period between 2017 and 2019. Results: It was possible to identify that the most frequent location in relation to the varicocele was the left, corresponding to 47% of the cases, followed by the right side with 27%. 42% had grade II varicocele, the majority being 25% with this condition on the left side. Conclusion: Finally, most of the cases were grade II and located on the left side, however, people who had grade III must be followed up in a timely manner to improve their condition. Keywords: varicocele, fertility, varicolectomy, risk factors
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Varicocele, Varicocelectomía, Fertilidad, Factores de riesgo, Epidemiología analítica, Hospital IESS Los Ceibos, Cantón Guayaquil, Ecuador