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Combination of High Ligation and Intraoperative Embolization using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
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Varicocele embolization with glue and coils: A single center experience
C Bilreiro1, P Donato1, J F Costa1
1Serviço de Imagem Médica, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-075 Coimbra, Portugal.
Diagnostic and Interventional Imaging
|February 11, 2017
Summary
Varicocele embolization using glue or coils is safe and effective. Glue resulted in a shorter procedure time compared to coils, with similar success rates for infertility and pain.
Area of Science:
- Interventional Radiology
- Urology
- Vascular Surgery
Background:
- Varicocele, a common cause of male infertility and testicular pain, can be treated with embolization.
- Metallic coils and n-butyl-2 cyanoacrylate (glue) are commonly used agents for varicocele embolization.
Purpose of the Study:
- To compare the efficacy and safety of metallic coils versus glue for varicocele embolization.
- To evaluate immediate technical and clinical success, procedure duration, complications, and recurrence rates.
Main Methods:
- Retrospective analysis of 129 varicocele embolization procedures (July 2012-July 2015).
- Comparison of 26 procedures using glue and 103 procedures using coils.
- Analysis of demographic data, indications, technique, procedure time, complications, and outcomes.
Main Results:
- Mean procedure time was significantly shorter with glue (35.58 min) compared to coils (45.97 min).
- Immediate technical success rates were high for both: 100% for glue and 99% for coils.
- Both agents demonstrated significant improvement in semen parameters and similar clinical success rates for infertility.
- Clinical success rates for testicular pain were 66.67% for glue and 88.24% for coils.
- Recurrence rates were 11.54% for glue and 5.83% for coils.
Conclusions:
- Both glue and coils are safe and effective embolization agents for varicoceles.
- Glue offers the advantage of a significantly shorter procedure time.
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