الفهرس | Only 14 pages are availabe for public view |
Abstract Although repair of varicocele was discovered since more than 60 years, still there is a controversy about the degree of benefence in regards to the final outcome of treatment of male infertility in the form of pregnancy. This debate is not in equilibrium, beacuase the evidence is more supporting the benefence. Accordingly, surgeons tried many methods for repair starting from the traditional open surgery up to the minimally invasive radio-interventional and magnification assisted technologies. Hence, the debate regenerates agian about which is the best technique for repair of varicocele. This issue presented many trials of comparative studies among the different methods of repair. For this purpose we conducted this study.It is a prospective comparative randomized study to compare the outcome of treatment of high grade varicoceles in the infertile men.It compared the microsurgical inguinal and subinguinal techniques. This study included 30 patients classified into two groups; group (A) is the inguinal group and included 14 patients and group (B) is the inguinal group and included 16 patients. Postoperative sperm concentration and motility improved in the both groups especially in group (B). No significant difference between the three groups in postoperative complication and pregnancy. Patients with bilateral varicocele who underwent bilateral simultaneous venous ligation had more increase in postoperative sperm concentration than patient who underwent unilateral venous ligation. Total varicocele recurrence ratio was (7.3%).10% in group (A), 12.5% in group (B). |