Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database
Purpose: The objective of this study was to investigate the type of redo varicocelectomy according to the initial surgery type using a large population of USA insurance data. Materials and Methods:Materials and Methods: This is a retrospective observational cohort study. Administrative claims data...
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Korean Society for Sexual Medicine and Andrology
2021-07-01
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doaj-a107c1204749446f8476cee220fef76c2021-06-21T05:25:36ZengKorean Society for Sexual Medicine and AndrologyThe World Journal of Men's Health2287-42082287-46902021-07-0139355956510.5534/wjmh.190170Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims DatabaseHyoung Keun Park0https://orcid.org/0000-0001-7606-4180Gyeong Eun Min1https://orcid.org/0000-0003-3881-7481Kyung Jin Chung2https://orcid.org/0000-0003-0153-7814Shufeng Li3https://orcid.org/0000-0001-6031-0893Woo Suk Choi4https://orcid.org/0000-0002-8352-578XBenjamin I. Chung5https://orcid.org/0000-0001-9660-2732Stanford University Medical Center, Stanford, CAStanford University Medical Center, Stanford, CAStanford University Medical Center, Stanford, CAStanford University Medical Center, Stanford, CAKonkuk University School of MedicineStanford University Medical Center, Stanford, CAPurpose: The objective of this study was to investigate the type of redo varicocelectomy according to the initial surgery type using a large population of USA insurance data. Materials and Methods:Materials and Methods: This is a retrospective observational cohort study. Administrative claims data were extracted from the IBM® MarketScan Research Database. We included all newly diagnosed patients with varicocele from January 2007 to De-cember 2014 using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) codes. The treat-ment methods were identified by Current Procedural Terminology (CPT) code. Results:Results: A total of 261,785 subjects were diagnosed with varicocele. Of these, a total of 19,800 (7.6%) patients underwent varicocele surgery. Inguinal, abdominal, laparoscopic, microsurgery, and embolization surgery were performed in 66%, 19%, 10%, 3%, and 2%, respectively, as initial treatment. A total of 340 patients (1.7%) underwent redo varicocele surgery. Inguinal, microscopic, embolization, abdominal, and laparoscopic surgery were used as the redo method in 43%, 25%, 16%, 8%, and 7%, respectively. The redo inguinal approach was the preferred method in patients who first underwent ingui-nal, abdominal, and laparoscopic surgery, but not in patients who underwent microscopic or embolization procedures. Most patients who initially underwent microscopic varicocelectomy or embolization underwent redo varicocelectomy using the same method. Conclusions:Conclusions: Compared to the type of initial varicocelectomy, there were changes in the proportion of each type of surgical approach in redo operation procedures. While inguinal varicocelectomy is the most common method in redo operations, the number of microscopic varicocelectomy or embolization procedures is significantly increased in redo surgery.embolizationtherapeutic;recurrencereoperationvaricocelevascular surgical procedures |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyoung Keun Park Gyeong Eun Min Kyung Jin Chung Shufeng Li Woo Suk Choi Benjamin I. Chung |
spellingShingle |
Hyoung Keun Park Gyeong Eun Min Kyung Jin Chung Shufeng Li Woo Suk Choi Benjamin I. Chung Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database The World Journal of Men's Health embolization therapeutic; recurrence reoperation varicocele vascular surgical procedures |
author_facet |
Hyoung Keun Park Gyeong Eun Min Kyung Jin Chung Shufeng Li Woo Suk Choi Benjamin I. Chung |
author_sort |
Hyoung Keun Park |
title |
Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database |
title_short |
Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database |
title_full |
Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database |
title_fullStr |
Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database |
title_full_unstemmed |
Practice Pattern of Redo Varicocelectomy for Recurrent Varicocele according to Type of Initial Treatment: Retrospective Analysis of a United States-Based Insurance Claims Database |
title_sort |
practice pattern of redo varicocelectomy for recurrent varicocele according to type of initial treatment: retrospective analysis of a united states-based insurance claims database |
publisher |
Korean Society for Sexual Medicine and Andrology |
series |
The World Journal of Men's Health |
issn |
2287-4208 2287-4690 |
publishDate |
2021-07-01 |
description |
Purpose: The objective of this study was to investigate the type of redo varicocelectomy according to the initial surgery type using a large population of USA insurance data.
Materials and Methods:Materials and Methods: This is a retrospective observational cohort study. Administrative claims data were extracted from the IBM® MarketScan Research Database. We included all newly diagnosed patients with varicocele from January 2007 to De-cember 2014 using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) codes. The treat-ment methods were identified by Current Procedural Terminology (CPT) code.
Results:Results: A total of 261,785 subjects were diagnosed with varicocele. Of these, a total of 19,800 (7.6%) patients underwent varicocele surgery. Inguinal, abdominal, laparoscopic, microsurgery, and embolization surgery were performed in 66%, 19%, 10%, 3%, and 2%, respectively, as initial treatment. A total of 340 patients (1.7%) underwent redo varicocele surgery. Inguinal, microscopic, embolization, abdominal, and laparoscopic surgery were used as the redo method in 43%, 25%, 16%, 8%, and 7%, respectively. The redo inguinal approach was the preferred method in patients who first underwent ingui-nal, abdominal, and laparoscopic surgery, but not in patients who underwent microscopic or embolization procedures. Most patients who initially underwent microscopic varicocelectomy or embolization underwent redo varicocelectomy using the same method.
Conclusions:Conclusions: Compared to the type of initial varicocelectomy, there were changes in the proportion of each type of surgical approach in redo operation procedures. While inguinal varicocelectomy is the most common method in redo operations, the number of microscopic varicocelectomy or embolization procedures is significantly increased in redo surgery. |
topic |
embolization therapeutic; recurrence reoperation varicocele vascular surgical procedures |
work_keys_str_mv |
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