Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy

Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy in Infertile Men With Oligo-asthenzoospermia: A Prospective Randomized Trial.

In the current study, the adult infertile patients with clinical varicoceles will be included. the patients will undergo subinguinal varicocelectomy. The patients with spermatic cord lipoma detected at the time of surgery will be enrolled and divided into 2 groups( excision group, group A and preservation group (B). semen parameters will be compared in both group at 3 and 6 months after surgery

This will be a prospective randomized study, in which adult infertile patients with clinical varicocele and oligo-athenospermia admitted to Urology department Tanta university hospital will be included and then the patients with detected spermatic cord lipoma at the time surgery will be enrolled and divided into 2 groups:

GROUP A : will undergo subinguinal varicocelectomy with excision of spermatic cord lipoma GROUP B : will undergo subinguinal varicocelectomy with preservation of spermatic cord lipoma

Inclusion criteria:

• Adult infertile males
• Clinical varicocele
• oligo-asthenospermia

Exclusion criteria:

• Adolescent varicocele
• Recurrent varicocele
• Presence of inguinal hernia
• Azospermic patients

Inclusion Criteria:

• Adult infertile males
• Clinical varicocele
• Semen analysis show oligo-athenospermia

Exclusion Criteria:

• Adolescent varicocele
• Recurrent varicocele
• Presence of inguinal hernia
• Azospermic patients