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- Title
Comparison of Inguinal Approach, Scrotal Sclerotherapy and Subinguinal Antegrade Sclerotherapy in Varicocele Treatment: A Randomized Prospective Study.
- Authors
Fayez, A.; El Shantaly, K. M.; Abbas, M.; Hauser, S.; Müller, S. C.; Fathy, A.
- Abstract
We compared outcome and complications of three simple varicocelectomy techniques. Groups were divided according to whether they would receive the Ivanissevich technique (n = 55), Tauber's technique (n = 51) or subinguinal sclerotherapy (n = 49). Selection criteria were: infertility >1 year, subnormal semen, sonographic diameter of veins >3 mm and time of regurge >2 s. Patients were randomly assigned to the groups of treatment, with follow-up every 3 months for 1 year. Improvement was only in sperm count and total motility for all groups. Pregnancy rates were 20, 13.73 and 12.24%, respectively, with no significant difference between groups. Hydrocele occurred only in the group which received the Ivanissevich technique (5.5%). Tauber's technique is simple; however, it has the disadvantage of multiple branching of small veins. Copyright © 2010 S. Karger AG, Basel
- Subjects
TESTIS surgery; VARICOCELE; OPERATIVE surgery; SCLEROTHERAPY; SEMEN; ULTRASONIC imaging
- Publication
Urologia Internationalis, 2010, Vol 85, Issue 2, p200
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000316338