Effect of Scrotal Veins Ligation on Results of Varicocelectomy Regarding Semen Parameters and Testicular Volume
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- Category: Vol. 83, September 2015
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Effect of Scrotal Veins Ligation on Results of Varicocelectomy Regarding Semen Parameters and Testicular Volume, MOHAMED Y. EL-AMIR, AHMAD A. AWAAD, IBRAHIM M. FAHMY and TAHA A. MOHAMED
Abstract
Background: There was disagreement in some studies about the benefit of varicocele treatment on testicular size.
Objective: The aim of this study was to evaluate scrotal veins contribution to varicocele and the effect of its ligation on semen parameters and testicular volume.
Patients and Methods: Sixty patients with clinically and sonographically detectable varicocele grades II and III, and abnormal semen were randomly divided into 2 equal groups: Group I were treated by subinguinal varicocelectomy only, and Group II were treated by subinguinal varicocel-ectomy with additional scrotal veins ligation. They were subjected to semen analysis and scrotal color Duplex to measure testicular size.
Results: Both surgical techniques showed significant improvement in semen parameters (count and motility) and testicular volume measured by Duplex. However, the postop-erative improvement in sperm count and testicular volume was significantly higher in Group II. Postoperative pregnancy rates were comparable with no significant difference between both groups.
Conclusion: The postoperative improvement in sperm count and testicular volume was significantly higher in patients treated by subinguinal varicocelectomy with additional scrotal veins ligation.