Assessing the Rates of Major Complications in Combined Mini-incision Microscopic Varicocelectomy

Summary

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

Conditions

• Varicocele

Interventions

PROCEDURE

Combined Microscopic Varicocelectomy

After making a mini-incision at inguinal level, veins are evaluated, and if the including criteria (Complexity and tortuosity of the veins and/or existence of veins that are contiguous with arteries so that separating and ligation of the veins could jeopardize the artery) are existed, only external spermatic vein, if dilated, is ligated at the depth of the inguinal canal, and other veins are left alone for prevention of damage to the artery. Subsequently, another mini-incision is made at high inguinal level and the rest of surgery is conducted by retroperitoneal approach, which is also done microscopically

PROCEDURE

Inguinal and Subinguinal varicocelectomy

Microscopic Inguinal and Sub inguinal varicocelectomy, recommended by Goldstein and associates, are currently popular approaches. In this approach the spermatic cord structures are pulled up and out of the wound so that the testicular artery, lymphatics, and small periarterial veins may be more easily identified. In addition, an inguinal or subinguinal approach allows access to external spermatic and even gubernacular veins.

Sponsors & Collaborators

• Shahid Beheshti University of Medical Sciences

  collaborator OTHER

• Omid Fertility Center

  lead OTHER

Principal Investigators

• Omid Pouyan, MD · Omid Fertility Center

• Navid Pooyan, MD · Omid Fertility Center

• Robabeh Taheri Panah, MD · Infertility and Reproductive Health research center of Shahid Beheshti university of medical sciences

• Ashraf Ale Yasin, MD · Omid Fertility Center

• Marzieh Agha Hosseini, MD · Omid Fertility Center

• Hojatollah Saeidi Saeid Abadi, P.H.D · Omid FC

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Sex

MALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2006-01-31

Primary Completion

2013-09-30

Completion

2015-06-30

Countries

• Iran

Study Locations