A sub inguinal microscopic varicocelectomy versus same approach without use of microscope

Abstract

Varicocele is a usually painless common condition that affects the scrotal veins, and associated with fertility problems. Complication of varicocele may include hypo-gonadism and azospermia. Diagnosis of varicocele by history and examination and Doppler scrotal ultrasound semen analysis may be needed, treatment of varicocele either conservative or surgical, the gold standard surgical approach are microscopic sub inguinal varicocelectomy. Aims of the study to analyze and compare the conception success outcome between microscopic and conventional ligation of varicocele. A total of 96 patients aged between 19 and 56 years, divided into two groups according to type of ligation, all cases were observed and followed up over a period of 3 years, the two groups were compared spontaneous and total conception rate with survival analysis. From this study, we noted that microscopic varicocelectomy provides better outcomes than conventional ligation in attaining spontaneous and induced conception.