Effect of high ligation of spermatic vein on leukocytes in expressed prostate secretion of patients with chronic prostatitis and varicocele.
- Author:
Ji-Yang DING
1
;
Peng ZHANG
1
;
Chun-Hua NIU
1
;
Hai-Yong LI
1
;
Wen-Zhu XU
1
;
Ying-Chen ZHANG
2
;
Gang MA
3
Author Information
1. Department of Urology, Zibo Hospital of Integrated Traditional Chinese and Western Medicine, Zibo, Shandong 255000, China.
2. Department of Urology, the 148 Hospital of PLA, Zibo, Shandong 255300, China.
3. Department of Male Reproductive Medicine and Urology, Center for Reproductive Medicine of Shandong University, Jinan, Shandong 250000, China.
- Publication Type:Journal Article
- Keywords:
varicocele;
prostatitis;
laparoscopy;
white blood cell count
- MeSH:
Male;
Humans;
Varicocele/surgery*;
Prostatitis/blood*;
Ligation;
Spermatic Cord/blood supply*;
Testosterone/blood*;
Chronic Disease;
Prostate/metabolism*;
Veins/surgery*;
Leukocyte Count;
Leukocytes;
Laparoscopy;
Adult
- From:
National Journal of Andrology
2025;31(4):319-322
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect of laparoscopic high ligation of spermatic cord vein in patients with chronic prostatitis and varicocele prostatitis.
METHODS:A total of 90 varicocele patients were selected from January 2016 to December 2020, including 33 patients with chronic prostatitis. Changes of white blood cell count, National Institutes of Health chronic prostatitis symptom index (NIH-CPSI) score and serum testosterone level in the expressed prostate secretion (EPS) were observed before and after the operation of laparoscopic high ligation of spermatic vein.
RESULTS:All patients were followed up three months after the surgery. There was no significant difference in the white blood cell counts in EPS, NIH-CPSI score, and serum testosterone level in patients with varicocele-only who underwent high ligation surgery after the operation. However, the white blood cell count in the EPS of patients with chronic prostatitis was lower than that before 3 months of operation ( ［12.39±4.23］×109/L vs ［21.36±5.05］×109/L). The NIH-CPSI score was significantly lower than that before operation ( ［12.71±6.21］ vs ［26.76±8.43］). And the serum testosterone level was higher than that before operation (［4.34±1.77］ng/ml vs ［2.36±1.05］ng/ml).
CONCLUSION:Laparoscopic high ligation of the spermatic vein in patients with chronic prostatitis and varicocele could effectively reduce the number of white blood cells in the EPS, boost the level of serum testosterone and improves symptoms of chronic prostatitis.
