Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy

Not Applicable

Recruiting

• Conditions: Male Infertility
• Interventions: Procedure: subinguinal varicocelectomy

• Registration Number: NCT06257459
• Lead Sponsor: Tanta University

Brief Summary

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

Detailed Description

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 Timeline

• Study Start: 2023-01-01
• Study First Submitted: 2024-01-30
• Status Verified: 2024-02
• Study First Submitted QC: 2024-02-12
• Last Update Submitted: 2024-02-12
• Study First Posted: 2024-02-14
• Last Update Posted: 2024-02-14
• Primary Completion: 2024-06-01
• Study Completion: 2024-12-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Male
• Target Recruitment: 200

Inclusion Criteria

• Adult infertile males
• Clinical varicocele
• Semen analysis show oligo-athenospermia

Exclusion Criteria

• Adolescent varicocele
• Recurrent varicocele
• Presence of inguinal hernia
• Azospermic patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Lipoma Preservation (group B)	subinguinal varicocelectomy	preservation of spermatic cord lipoma detected during subinguinal varicocelectomy in infertile males
Lipoma Excision (group A)	subinguinal varicocelectomy	excison of spermatic cord lipoma detected during subinguinal varicocelectomy in infertile males

Primary Outcome Measures

Name	Time	Method
semen parameters improvement	3 and 6 months after surgery	semen analysis
symptoms improvement (pain and swelling)	3 and 6 months after surgery	improvement of preoperative scrotal pain and swelling was assessed

Secondary Outcome Measures

Name	Time	Method
postoperative complications	early after surgery and late	post-operative scrotal edema, hematoma and wound infection were assessed

Trial Locations

Locations (1)

Ahmed Zoeir; 🇪🇬 Tanta, Gharbeya, Egypt