Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy in Infertile Men With Oligo-asthenzoospermia: A Prospective Randomized Trial.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Tanta University
- Enrollment
- 200
- Locations
- 2
- Primary Endpoint
- semen parameters improvement
Study Overview
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:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adult infertile males
- •Clinical varicocele
- •Semen analysis show oligo-athenospermia
Exclusion Criteria
- •Adolescent varicocele
- •Recurrent varicocele
- •Presence of inguinal hernia
- •Azospermic patients
Outcomes
Primary Outcomes
semen parameters improvement
Time Frame: 3 and 6 months after surgery
semen analysis
symptoms improvement (pain and swelling)
Time Frame: 3 and 6 months after surgery
improvement of preoperative scrotal pain and swelling was assessed
Secondary Outcomes
- postoperative complications(early after surgery and late)
Investigators
Ahmed Zoeir
faculty of medicine, Tanta, ElGeish street, Egypt
Tanta University