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Document Type

Original Article

Abstract

Background: The incidence of varicocele in the general population ranges from 15 to 20%, and 30 to 40% in infertile men. Varicocele is dilated tortuous veins of the pampiniform plexus the venous sinuses that drain the testicles. These sinuses primarily drain into the internal spermatic vein (gonadal vein). Aim and objectives: to compare between laparoscopic varicocelelctomy versus foam injection sclerotherapy of a polidocanol in a concentration of 3% solution, by using interventional catheterization in the treatment of primary varicocele. Subjects and methods: This prospective randomized study was be conducted on 50 patients with primary varicocele. It was be conducted in the department of vascular surgery, Al Azhar University Hospitals – Cairo (Al-Hussein and and said-Galal University Hospitals). Patients were be divided into 2 groups. Results: statistically insignificant difference between patients with injection sclerotherapy and patients with laparoscopic varicocelelctomy regarding their Computer-Assisted Sperm Analysis (P > 0.05). lower Wound infection, Hematoma Orchitis, Scrotal edema, Hydrocele, Scrotal emphysema and higher Testicular pain in injection sclerotherapy than patients with laparoscopic varicocelelctomyhowever, this difference was statistically insignificant except for hematoma (P < 0.05). Conclusion: we can conclude that injection sclerotherapy may be a preferable treatment option for patients with unilateral varicocele. Further studies with large scales are needed for conforming our results.

Keywords

Laparoscopic Varicocelectomy; Foam Injection Sclerotherapy; Interventional Catheterization.

Subject Area

General Surgery

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