Comparison of inguinal approach, scrotal sclerotherapy and subinguinal antegrade sclerotherapy in varicocele treatment: a randomized prospective study.
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.
Department of Andrology, Sexology and Sexually Transmitted Diseases, Cairo University Hospital, Cairo, Egypt. ahmadfathy2000@yahoo.com
A
A
Fayez
K M
KM
El Shantaly
M
M
Abbas
S
S
Hauser
S C
SC
Müller
A
A
Fathy
D016009:Chi-Square Distribution; D004534:Egypt; D005260:Female; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D008297:Male; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D015911:Sclerotherapy / Q000009:adverse effects / Q000379:methods*; D013076:Sperm Count; D013081:Sperm Motility; D013094:Spermatozoa / Q000473:pathology*; D006848:Testicular Hydrocele / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects; D014646:Varicocele / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery / Q000628:therapy*