Abstract:
OBJECTIVES:To compare the therapeutic success, the morbidity and the costs of antegrade sclerotherapy versus laparoscopic varicocelectomy. METHODS:Seventy-six consecutive varicocele patients were randomly assigned to two treatment arms. Preoperative and 3 month postoperative sperm density, motility and morphology were analysed. The diagnosis of the varicocele was established clinically and with Doppler ultrasonography. RESULTS:Fifty-eight patients treated by either of the two methods were followed up. The recurrence rate increased progressively with the size of the varicocele in both groups. The postoperative incidence of complications particularly hydrocele formation was significantly higher in the laparoscopic group. The costs of the disposable material for laparoscopic varicocelectomy was twice as high as for sclerotherapy. CONCLUSIONS:Antegrade sclerotherapy is the less invasive treatment method of male varicocele with lower costs and better outcome and should therefore be the preferred treatment method for male varicocele.
journal_name
Eur Uroljournal_title
European urologyauthors
Sautter T,Sulser T,Suter S,Gretener H,Hauri Ddoi
10.1016/s0302-2838(02)00022-2keywords:
subject
Has Abstractpub_date
2002-04-01 00:00:00pages
398-400issue
4eissn
0302-2838issn
1873-7560pii
S0302283802000222journal_volume
41pub_type
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