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
A Clinical Study of Diagnosis and Management of Varicose Veins of Lower Limb
Varicose veins are a common vascular disorder occurring mostly in male often requiring surgical management. It leads to economic burden and loss of productivity due to morbidity. This study was conducted in order to inve...
Study of Prevalence of Refractive Errors in School Going Children in the Urban City of Andhra Pradesh
Refractive Errors are one of the avoidable causes of blindness and low vision. Timely detection of these problems and their correction by spectacles can tremendously improve the child’s potential during his formative yea...
The Frequency of Gastroesophageal Reflux Symptoms in Patients with Type 2 Diabetic Neuropathic Pain
In our country, the prevalence of Type 2 diabetes mellitus (T2DM) is increasing. In some studies, gastrointestinal symptoms are reported to be higher in patients with T2DM. In our study, we planned to examine the relatio...
Clinico-Pathological Correlation of Urothelial Carcinoma of Urinary Bladder with P63 and CK20 Immunostain
Abstract: Urinary bladder carcinoma is a common cancer in the Indian population in increasing incidence over the past few decades. Most of the tumours of the urinary bladder are urothelial carcinomas, comprising approxim...
Poverty and Social Inequality in First Episode Psychosis: A retrospective study
The primary aim of this work was to evaluate the relationship of poverty and social inequality in first episode psychosis. The Method was a retrospective case note review, looking at first episode psychotics who were adm...