The Role of Microsurgery in Surgical Treatment of Varicocele.

Infertility Clinical Trial

Official title:

The Role of Microsurgery in Surgical Treatment of Varicocele.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02722187
• Other study ID #: microvl/2015
• Status: Recruiting
• Phase: N/A
• Start date: April 2015
• Est. completion date: July 2019

Study information

• Verified date: March 2019
• Source: Medical University of Warsaw
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is to set the place of microsurgery in surgical treatment od varicocele in infertile male. Fourty patients will undergo microsurgical subinguinal varicocelectomy while the control group consisting of 20 patients wil undergo laparoscopic varicocelectomy.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: July 2019
• Est. primary completion date: July 2019
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• clinical varicocele

• infertility duration of min one year

• poor semen quality

• otherwise unexplained infertility in the couple

Exclusion Criteria:

• female infertility

Related Conditions & MeSH terms

• Infertility
• Varicocele

Intervention

Procedure:
• subinguinal microscopic varicocelectomy

• laparoscopic varicocelectomy

Locations

Country	Name	City	State
Poland	Chair and Department of Urology Warsaw Medical University.	Warsaw

Sponsors (1)

Lead Sponsor	Collaborator
Medical University of Warsaw

Country where clinical trial is conducted

Poland, 

References & Publications (6)

Abdel-Meguid TA, Al-Sayyad A, Tayib A, Farsi HM. Does varicocele repair improve male infertility? An evidence-based perspective from a randomized, controlled trial. Eur Urol. 2011 Mar;59(3):455-61. doi: 10.1016/j.eururo.2010.12.008. Epub 2010 Dec 21. — View Citation

Al-Kandari AM, Shabaan H, Ibrahim HM, Elshebiny YH, Shokeir AA. Comparison of outcomes of different varicocelectomy techniques: open inguinal, laparoscopic, and subinguinal microscopic varicocelectomy: a randomized clinical trial. Urology. 2007 Mar;69(3): — View Citation

Cayan S, Shavakhabov S, Kadioglu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2009 Jan-Feb;30(1):33-40. doi: 10.2164/jandrol.108.005967. Epub 2008 Sep 4. Review. — View Citation

Diegidio P, Jhaveri JK, Ghannam S, Pinkhasov R, Shabsigh R, Fisch H. Review of current varicocelectomy techniques and their outcomes. BJU Int. 2011 Oct;108(7):1157-72. doi: 10.1111/j.1464-410X.2010.09959.x. Epub 2011 Mar 24. Review. — View Citation

Ollandini G, Liguori G, Ziaran S, Málek T, Mazzon G, de Concilio B, Bucci S, Benvenuto S, Belgrano E, Trombetta C. Varicocele treatment: a 2-centers comparison between non microsurgical open correction, laparoscopic approach and retrograde percutaneous sc — View Citation

Watanabe M, Nagai A, Kusumi N, Tsuboi H, Nasu Y, Kumon H. Minimal invasiveness and effectivity of subinguinal microscopic varicocelectomy: a comparative study with retroperitoneal high and laparoscopic approaches. Int J Urol. 2005 Oct;12(10):892-8. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	pregnancy rate after the intervention		one yaer after the intervention