ANALYSIS OF THE EFFECTIVENESS AND ECONOMIC JUSTIFICATION OF SURGICAL TREATMENT OF VARICOCELE
Abstract
The study included the results of treatment of 188 patients with left-sided varicocele admitted to the surgical department of the Tashkent City Clinical Hospital No. 1 named after. Ibn Sino. Depending on the method of surgical intervention, 2 groups of patients were divided. In 2016-2018 91 (48.4%) patients underwent conventional surgical interventions (Ivanissevich or Palomo operations), which formed the comparison group. From 2019 to 2022 97 (51.6%) patients underwent subinguinal selective operations (antegrade endovascular sclerotherapy of the left-sided testicular vein and Marmara operation), which were included in the main group. The developed method of surgical treatment of varicocele - antegrade endovascular sclerotherapy of the left testicular vein - is cost-effective (medical costs are 50.8% less than using the Ivanissevich operation and 50.0% less than using the Palomo operation), reduces the length of stay of patients in hospital from 7.2±0.9 to 2.1±0.4 (p<0.001).
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