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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:
Exclusion criteria:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lipoma Excision (group A) | Active Comparator | excison of spermatic cord lipoma detected during subinguinal varicocelectomy in infertile males |
|
| Lipoma Preservation (group B) | Active Comparator | preservation of spermatic cord lipoma detected during subinguinal varicocelectomy in infertile males |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| subinguinal varicocelectomy | Procedure | exision or preservation of spermatic cord lipoma during subinguinal varicocelectomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| semen parameters improvement | semen analysis | 3 and 6 months after surgery |
| symptoms improvement (pain and swelling) | improvement of preoperative scrotal pain and swelling was assessed | 3 and 6 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complications | post-operative scrotal edema, hematoma and wound infection were assessed | early after surgery and late |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahmed Zoeir | Recruiting | Tanta | Gharbia Governorate | 11511 | Egypt |
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| ID | Term |
|---|---|
| D007248 | Infertility, Male |
| ID | Term |
|---|---|
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007246 | Infertility |
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| D052801 |
| Male Urogenital Diseases |