Clinical Evidence

Varicocele embolization following failure of varicocelectomy: a case series and review of literature

“Embolization has many advantages, including use of local anaesthesia, lower operating time, decreased risk of hydrocele and faster recovery times. In addition to this direct visualization of the vasculature during embolization allows for identification of any anatomic variants or collateral vessel accounting for the recurrence. This permits more definitive treatment in case of prior surgical failure.”

Clinical outcome and cost comparison of percutaneous embolization and surgical ligation of varicocele. – Cleveland Clinic.

“ Percutaneous embolization and surgical ligation of varicocele are equally effective in improving male infertility and cost about the same. Embolization offers the potential advantage of shorter recovery to full activity as compared to surgical ligation.”

Subinguinal microsurgical varicocelectomy vs. percutaneous embolization in infertile men: Prospective comparison of reproductive and functional outcomes

“ Percutaneous embolization seems to be an equivalent alternative to sub-inguinal microscopic ligation in term of sperm quality improvement, pregnancy rate, and overall satisfaction with a slight advantage on post-operative morbidity.”

Beneficial effects of varicocele embolization on semen parameters

“ Embolization treatment in men with clinically visible left varicocele, abnormal sperm parameters and documented infertility is associated with a significant improvement in semen parameters including sperm head morphology.”

The effectiveness of varicocele embolisation for the treatment of varicocele related pain

“ In our review we have demonstrated that primary varicocele embolisation can decrease discomfort in those with symptomatic varicoceles, with an overall reduction of pain in the majority of cases.”

Percutaneous treatment of varicocele with microcoil embolization: comparison of treatment outcome with laparoscopic varicocelectomy

“ Both laparoscopic varicocelectomy and coil embolization are effective treatment modalities for varicoceles. With lower treatment complication rates in the interventional treatment group, coil embolization of the testicular vein offers treatment advantage compared with laparoscopic repair in patients with varicoceles.”

Comparison of subinguinal microsurgical varicocelectomy vs percutaneous embolization in infertile men

“ Both procedures give equivalent results regarding sperm quality, pregnancy rate and satisfaction even though recovery seems faster and postoperative pain seems lower after percutaneous embolization.”

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