Document Detail

Percutaneous varicocele embolization versus surgical ligation for the treatment of infertility: changes in seminal parameters and pregnancy outcomes.
MedLine Citation:
PMID:  9314365     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To compare the success of percutaneous varicocele embolization to surgical ligation with regard to changes in semen characteristics and pregnancy outcome. MATERIALS AND METHODS: Infertility records from 346 men who underwent correction of their varicocele for infertility (surgical ligation 149; embolization 197) were reviewed retrospectively. Preprocedural and postprocedural semen analyses and pregnancy outcomes were obtained with use of chart and telephone follow-up. RESULTS: In men who successfully impregnated their partners, there were significant improvements in sperm density, percent total improvement, motility, and progression. Postprocedural (embolization vs surgery) percentage increases in seminal parameters were density, 156.8% versus 138.5%; total, 168.8% versus 157.91%; and motility, 2.7% versus 3.2%. The percent of individuals who had a change in sperm progression was 31% versus 41%. There was no statistical difference between the techniques based on t tests. The pregnancy rates were similar for the two groups, 39% and 34% for embolization and surgery, respectively. CONCLUSION: There is no significant statistical difference in seminal values or pregnancy outcome between the two techniques.
R D Shlansky-Goldberg; K N VanArsdalen; C M Rutter; M C Soulen; Z J Haskal; R A Baum; D C Redd; C Cope; M J Pentecost
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  8     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:    1997 Sep-Oct
Date Detail:
Created Date:  1997-10-22     Completed Date:  1997-10-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  759-67     Citation Subset:  IM    
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
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MeSH Terms
Embolization, Therapeutic* / adverse effects,  methods
Infertility, Male / etiology*
Middle Aged
Retrospective Studies
Sperm Count*
Sperm Motility*
Varicocele / complications,  therapy*

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