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Updated: Feb 19, 2026
03:06
Combination of High Ligation and Intraoperative Embolization using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
996
Retroperitoneal Varix ligation with sclerotherapy: a prospective randomized comparative study.
Yaser M Abdelsalam1, Waleed M Saeed1, Ahmed M Moeen1
1Assiut University, Assiut Urology and Nephrology Hospital, Assiut, Egypt.
Central European Journal of Urology
|November 7, 2017
Summary
High varix ligation alone is as effective as adding sclerotherapy for varicocele treatment. The combined approach resulted in longer operative times and increased postoperative pain without significant benefits in semen parameters or pregnancy rates.
Area of Science:
- Urology
- Surgical Techniques
- Reproductive Medicine
Background:
- Varicocele affects male fertility.
- Surgical interventions aim to improve outcomes.
- High varix ligation is a common treatment.
Purpose of the Study:
- To compare high varix ligation with and without sclerotherapy.
- To evaluate operative time, complications, pain, and fertility outcomes.
Main Methods:
- Sixty patients with varicocele were randomized into two groups.
- Group I: high varix ligation.
- Group II: high varix ligation with retrograde ethanolamine oleate injection.
Main Results:
- Operative time was significantly shorter in the ligation-only group (P <0.001).
- No significant differences in semen parameters or pregnancy rates were observed.
- Postoperative complications and pain were statistically insignificant between groups.
Conclusions:
- Combined varix ligation and sclerotherapy offer no significant advantages over ligation alone.
- The addition of sclerotherapy leads to longer operative times and potentially increased postoperative pain.
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