Single Infrapubic Versus Bilateral Subinguinal Microsurgical Varicocelectomy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18-45
SponsorBeni-Suef University
About this trial
Bilateral varicocele is commonly treated by microsurgical varicocelectomy. The conventional bilateral subinguinal approach usually requires two separate skin incisions, one on each side. A single midline infrapubic approach may allow bilateral microsurgical repair through one incision and may reduce access-related morbidity.
This prospective randomized controlled trial will compare single infrapubic microsurgical bilateral varicocelectomy with conventional bilateral subinguinal microsurgical varicocelectomy in adult men with clinically palpable bilateral varicocele. The study will evaluate postoperative pain, analgesic requirement, time to return to normal daily activity, operative time, scar satisfaction, wound complications, recurrence, and other safety outcomes during follow-up.
Eligibility criteria
Qualifiers
Male patients aged 18 to 45 years.
Clinically palpable bilateral varicocele, grade II or grade III.
Diagnosis confirmed by color Doppler ultrasound.
Infertility for at least 12 months and/or abnormal semen analysis.
Disqualifiers
Subclinical varicocele detected only by Doppler ultrasound.
Unilateral varicocele.
Recurrent varicocele after previous surgery, embolization, or sclerotherapy.
Previous inguinal, scrotal, pelvic, or penile surgery likely to distort surgical anatomy.
Trial design
Treatments tested in this trial
- Single Infrapubic Microsurgical Bilateral Varicocelectomy
- Bilateral Subinguinal Microsurgical Varicocelectomy
Treatment groups
40 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov