Combined Role of Transjugular and Transfemoral Embolization in the Management of Varicocele.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Change in Pain Intensity Measured by the Visual Analog Scale (VAS).
研究概览
简要总结
This prospective study will evaluate two different approaches for performing embolization to treat varicocele, a condition in which the veins around the testicle become enlarged. Thirty patients with varicocele will undergo embolization using either a transjugular approach, through a vein in the neck, or a transfemoral approach, through a vein in the groin. The choice of approach will depend on the patient's venous anatomy and the feasibility of the procedure. Patients will be followed up at one and three months after the procedure to assess treatment effectiveness, symptom improvement, and any complications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 60 Years（Child, Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •1. Male patients aged 16-60 years.
- •Clinically palpable varicocele (Grade II or III) or subclinical varicocele associated with abnormal semen parameters.
- •3. Recurrent varicocele following previous surgical treatment.
- •Presence of scrotal pain, testicular atrophy, or infertility attributed to varicocele.
- •5. Willingness to participate in the study and provide written informed consent.
排除标准
- •Secondary varicocele due to a retroperitoneal mass or renal vein obstruction.
- •2. Known allergy to iodinated contrast media.
- •Coagulation disorders or contraindications to endovascular procedures.
研究组 & 干预措施
Percutaneous Varicocele Embolization
干预措施: Percutaneous Varicocele Embolization Using N-Butyl Cyanoacrylate (NBCA) (Procedure)
结局指标
主要结局
Change in Pain Intensity Measured by the Visual Analog Scale (VAS).
时间窗: 1 month after the procedure
Pain intensity will be assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. A decrease in the VAS score indicates improvement in pain. The change in VAS score from baseline to 1 month after varicocele embolization will be assessed.
次要结局
- Change in Pain Intensity Measured by the Visual Analog Scale (VAS) at 3 Months.(3 months after the procedure)
- Change in Maximum Diameter of the Pampiniform Plexus Veins on Doppler Ultrasound(3 months after the procedure)
- Resolution of Venous Reflux on Doppler Ultrasound(3 months after the procedure)
研究者
Arsanious Maher Adib
Resident of Diagnostic and Interventional Radiology
Sohag University