Document Detail


Comparison of inguinal approach, scrotal sclerotherapy and subinguinal antegrade sclerotherapy in varicocele treatment: a randomized prospective study.
MedLine Citation:
PMID:  20530957     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A Fayez; K M El Shantaly; M Abbas; S Hauser; S C Müller; A Fathy
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2010-06-09
Journal Detail:
Title:  Urologia internationalis     Volume:  85     ISSN:  1423-0399     ISO Abbreviation:  Urol. Int.     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-23     Completed Date:  2011-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  200-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 S. Karger AG, Basel.
Affiliation:
Department of Andrology, Sexology and Sexually Transmitted Diseases, Cairo University Hospital, Cairo, Egypt. ahmadfathy2000@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Chi-Square Distribution
Egypt
Female
Humans
Infertility, Male / etiology,  pathology,  surgery,  therapy*
Male
Pregnancy
Pregnancy Rate
Prospective Studies
Sclerotherapy / adverse effects,  methods*
Sperm Count
Sperm Motility
Spermatozoa / pathology*
Testicular Hydrocele / etiology
Time Factors
Treatment Outcome
Urologic Surgical Procedures, Male* / adverse effects
Varicocele / complications,  pathology,  surgery,  therapy*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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