Assessing Post-operative Rates of Recurrence, Hydrocele and Testicular Atrophy in Patients Operated With a New Approach of Varicocelectomy Named Combined Mini-incision Microscopic Varicocelectomy (CMMV)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 570
- 试验地点
- 1
- 主要终点
- Recurrent Varicocele
研究概览
简要总结
The purpose of this study is to determine the rates of major post-varicocelectomy complications (Recurrence, Hydrocele and Testicular Atrophy) in patients operated with a new method named Combined Mini-incision Microscopic Varicocelectomy. The study hypothesis is that using this method will lead to less major complications of recurrence, hydrocele, and also less incidental injuries to the arteries that will result less testicular atrophy
详细描述
The sample is selected from the patients who were referred to our center for surgical treatment of varicocele. Most of them were diagnosed after being evaluated for infertility.
All of them were operated by a single experienced and expert microscopic surgeon.
Informed consent is received from all of the possible candidates in accordance to national and Declaration of Helsinki guidelines.
Selection of patients for undergoing Combined varicocelectomy was done during the operation due to the nature of including criteria.
In this method after making an incision at inguinal level, veins are evaluated and if the including criteria is existed, only external spermatic vein is ligated at the depth of the inguinal canal and other veins are left alone for prevention of damage to the artery. Then another mini incision is made at high inguinal level and the rest of surgery is conducted by retroperitoneal approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Complexity and tortuosity of the veins at inguinal level so that separating and ligation of the vein could lead to artery injury
- •Veins which are contiguous with arteries so that separating and ligation of the vein could lead to artery injury
排除标准
- •Prior surgery at inguinal level such as Herniorrhaphy, Orchiopexy,etc.
结局指标
主要结局
Recurrent Varicocele
时间窗: 6 months
post-varicocelectomy recurrence is measured by physical exam at intervals of 10 days,3months and 6months after surgery
次要结局
- Post-varicocelectomy Hydrocele(6months)