Varicocele Clinical Trial
Official title:
Dye Assisted Lymphatic Sparing Varicocelectomy,Prospective Randomized Study
We prospectively compared outcomes of subinguinal varicocelectomy for 40 patients who received 2 ml intratunical space injection of methylene blue before spermatic vein ligation with 40 controls in whom no mapping technique was adopted in the period between January 2008 and Feb. 2010, in Mansoura university hospital ward 7.After surgery, the patients were assessed at 2 weeks,6 and 12 months for varicocele recurrence, hydrocele formation, atrophy, pain or other complications with mean follow up was 15+ 7months.
Methods. We prospectively compared outcomes of subinguinal varicocelectomy for 40 patients
who received 2 ml intratunical space injection of methylene blue before spermatic vein
ligation with 40 controls in whom no mapping technique was adopted in the period between
January 2008 and Feb. 2010, in Mansoura university hospital ward 7.After surgery, the
patients were assessed at 2 weeks,6 and 12 months for varicocele recurrence, hydrocele
formation, atrophy, pain or other complications with mean follow up was 15+ 7months.
Results: There were no intraoperative complications in either group. There were no adverse
reactions, scrotal haematomas or atrophy. In group 1, no patient had a hydrocele at 3 months
after surgery. By contrast, in group 2 (surgery alone) there were four cases of secondary
hydrocele (10%; P=0.025)); no testicular hypertrophy was observed following lymphatic
sparing surgery , One patient in each group had varicocele recurrence. Pregnancy was
reported in 30 patients (37.5%) during a follow up period, 17 of them (42.5%) were
group(1),P >0.34. difference was not significantly different among the two groups
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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