An observational study in Varicocele, sponsored by Assiut University. Status unknown at 1 site in Egypt. Open to male participants aged 19 Years to 45 Years. Per ClinicalTrials.gov, last updated 2017-09-13.
Sponsored by Assiut University · Observational
to evalute the effect inguinal and subinguinal approach of varicoceclectomy on semen parameter for patients complaining of varicocele with normal semen parameter (pain is the main complaint)
the varicocele is defined as dilated and incompetent veins within the pampiniform plexus of spermatic cord. varicocele has been described as the most common surgically correctable cause of male subinfertility.this is a disease that devolops during puberty when both endocrine and exocrine function of the testicle dramatically increases, along with testicular blood flow. varicocele only rarely detected in boys less than 10 years. left sided varicocle found in 15% of healthy young men.incontrast, the incidence in sub fertile men approaches 40% bilateral varicocele is uncommon in healthy men (less than 10%) but palpated in 20% in sub fertile men. in-general varicocele don't spontaneously regress. an accurate physical examination remain the corner stone of varicocele diagnosis.
several anatomic features contribute to the predominance of left sided varicocele is the left intrnal spermatic vein longer than the right and it typically joins the left renal vein at a right angle.as result of this character higher venous pressures fair transmited to the left spermatic vein and result in reterograde reflux of blood.
varicocle are associated with testicular atrophhy and varicocle correction can reverse atrophy in adolececnt. there is strong evidence affect semen quality it can cause abnormalties in concentration, motility and morphology.main defect is the motility.
indication of varicocelectomy:
53 studies on the registry are indexed under Varicocele; 15 are open to participants now.
This study's planned enrollment of 32 is below the median of 119 across 17 observational studies indexed under Varicocele.
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Male patients undergoing varicocelectomy while having normal semen parameters (doing surgery for other reasons eg. pain)
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Exclusion Criteria:
Patients undergoing high inguinal varicocelectomy with normal pre operative semen parameters, post operative semen analysis parameters will be recorded
Procedure: High inguinal Varicocelectomy
Patients undergoing subinguinal varicocelectomy with normal pre operative semen parameters, post operative semen analysis parameters will be recorded
Procedure: Subinguinal varicocelectomy
Semen parameters after high inguinal varicocelectomy will be collected
Semen parameters after subinguinal Varicocelectomy will be collected
Semen analysis
Motility morphology concentration
Time frame: 3months
This study is status unknown, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.
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