Comparison of inguinal approach, scrotal sclerotherapy and subinguinal antegrade sclerotherapy in varicocele treatment: a randomized prospective study

Urol Int. 2010;85(2):200-3. doi: 10.1159/000316338. Epub 2010 Jun 9.

Abstract

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.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Chi-Square Distribution
  • Egypt
  • Female
  • Humans
  • Infertility, Male / etiology
  • Infertility, Male / pathology
  • Infertility, Male / surgery
  • Infertility, Male / therapy*
  • Male
  • Pregnancy
  • Pregnancy Rate
  • Prospective Studies
  • Sclerotherapy / adverse effects
  • Sclerotherapy / methods*
  • Sperm Count
  • Sperm Motility
  • Spermatozoa / pathology*
  • Testicular Hydrocele / etiology
  • Time Factors
  • Treatment Outcome
  • Ultrasonography
  • Urologic Surgical Procedures, Male* / adverse effects
  • Varicocele / complications
  • Varicocele / diagnostic imaging
  • Varicocele / pathology
  • Varicocele / surgery
  • Varicocele / therapy*