Varicocele Treatment: Angiographic embolization versus varicocelectomy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 4
Abstract
Abstract: Varicocele is a dilatation of the pampiniform plexus of the testicular veins, the varicocele repair has been shown to reverse a spectrum of effects contributing to men with impaired fertility, it can be treated either by surgical ligation or angiographic occlusion of the spermatic veins. The aim of this study is to compare the outcome of percutaneous varicocele embolization versus surgical ligation with regard to changes in semen parameters. In this retrospective study, a total of 61 patients underwent varicocele correction. The patients were divided into two groups according to the treatment procedure; group (A) 31 patients treated by angiographic embolization of the spermatic vein and group (B) 30 patients treated by surgical ligation. The semen analysis of both groups was reviewed pre-treatment and one year after treatment for volume (ml), concentration (Sperm x106 per ml), motility (% motile), morphology (% normal shape) and total motile sperm count (TMSC) (Sperm x106). The t-test was used to measure levels of statistical significance. The mean age for group (A) was 28 years old ranged between (19-41 years) and 28.83 years ranged between (20-43) for group(B). After one year follow-up, when comparing the semen parameters pre and post-treatment for each group separately, it has been found a significant improvement in concentration, motility and TMSC for both groups P. values ≤ (0.05). The morphology improved significantly in group (A) P. value≤ (0.05), but not quite significant in group (B) P. value = (0.16). No significant improvement was noted in the volume of ejaculate for both groups P. values = (0.7829) and (0.2486) for group (A) and group (B) respectively. During one year follow-up it has been found that the two methods were successfully improved the semen parameters with no significant differences between them, thus improving the fertility in terms of sperm parameters. Considering the advantages of angiographic embolization technique of being low cost, no general anesthesia, short hospital and recovery times, it is more recommended than the surgical technique. Keywords: Varicocele, pampiniform plexus, angiographic embolization, surgical ligation
Authors and Affiliations
E. Manssor, Abdelmoneim sulieman, S. Osman
Psychodermatology Liaison Clinic at a Tertiary Care Centre in North India
Abstract: Psychodermatology is a sub speciality in dermatology which deals with the interactions between the mind and the skin. Psychocutaneous diseases can be either primary psychiatric or primary cutaneous, with variou...
Evaluation of Status of Salivary Copper in Patients with Oral Leukoplakia
The objective of this study was to evaluate the level of copper (Cu) in saliva of patients with oral leukoplakia (OL) and to compare the values with healthy controls. The study group comprised of 25 clinically diagnosed...
Prevalence of Thyroid Dysfunction among Pregnant Women in a Rural Teaching Hospital in Telengana, South India
Thyroid dysfunction is one of the commonest endocrinological problems in pregnanacy and affects both maternal and fetal outcomes. There is a paucity of data available on its prevalence in Indian pregnant women. This stud...
A Clinicopathologic Study of Lichen Planus
Abstract: Papulosquamous group of skin lesions have certain common clinical presentations and lead to confusion in diagnosis. We undertook this study to analyze the histomorphological findings of lichen planus, one of th...
A Prospective Study on Peripherally Inserted Central Venous catheter Associated Deep Venous Thrombosis in Patients with Burns
Abstract: Central venous catheterization may cause the thrombosis in patients. The present study conducted to evaluate the peripherally inserted central venous catheter associated deep venous thrombosis in burns patients...