In the current study, the adult infertile patients with clinical varicoceles will be included. the patients will undergo subinguinal varicocelectomy. The patients with spermatic cord lipoma detected at the time of surgery will be enrolled and divided into 2 groups( excision group, group A and preservation group (B). semen parameters will be compared in both group at 3 and 6 months after surgery
This will be a prospective randomized study, in which adult infertile patients with clinical varicocele and oligo-athenospermia admitted to Urology department Tanta university hospital will be included and then the patients with detected spermatic cord lipoma at the time surgery will be enrolled and divided into 2 groups: GROUP A : will undergo subinguinal varicocelectomy with excision of spermatic cord lipoma GROUP B : will undergo subinguinal varicocelectomy with preservation of spermatic cord lipoma Inclusion criteria: * Adult infertile males * Clinical varicocele * oligo-asthenospermia Exclusion criteria: * Adolescent varicocele * Recurrent varicocele * Presence of inguinal hernia * Azospermic patients
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
200
exision or preservation of spermatic cord lipoma during subinguinal varicocelectomy
Ahmed Zoeir
Tanta, Gharbia Governorate, Egypt
RECRUITINGsemen parameters improvement
semen analysis
Time frame: 3 and 6 months after surgery
symptoms improvement (pain and swelling)
improvement of preoperative scrotal pain and swelling was assessed
Time frame: 3 and 6 months after surgery
postoperative complications
post-operative scrotal edema, hematoma and wound infection were assessed
Time frame: early after surgery and late
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