Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy

Tanta University

Status: Enrolling

Conditions: Male Infertility

Treatments: Procedure: subinguinal varicocelectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06257459

36137/12/22

Details and patient eligibility

About

In the current study, the adult infertile patients with clinical varicoceles will be included. the patients will undergo subinguinal varicocelectomy. The patients with spermatic cord lipoma detected at the time of surgery will be enrolled and divided into 2 groups( excision group, group A and preservation group (B). semen parameters will be compared in both group at 3 and 6 months after surgery

Full description

This will be a prospective randomized study, in which adult infertile patients with clinical varicocele and oligo-athenospermia admitted to Urology department Tanta university hospital will be included and then the patients with detected spermatic cord lipoma at the time surgery will be enrolled and divided into 2 groups:

GROUP A : will undergo subinguinal varicocelectomy with excision of spermatic cord lipoma GROUP B : will undergo subinguinal varicocelectomy with preservation of spermatic cord lipoma

Inclusion criteria:

• Adult infertile males
• Clinical varicocele
• oligo-asthenospermia

Exclusion criteria:

• Adolescent varicocele
• Recurrent varicocele
• Presence of inguinal hernia
• Azospermic patients

Enrollment: 200 estimated patients

Sex: Male

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adult infertile males
• Clinical varicocele
• Semen analysis show oligo-athenospermia

Exclusion criteria

• Adolescent varicocele
• Recurrent varicocele
• Presence of inguinal hernia
• Azospermic patients

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

Lipoma Excision (group A)

Active Comparator group

Description:

excison of spermatic cord lipoma detected during subinguinal varicocelectomy in infertile males

Treatment:

Procedure: subinguinal varicocelectomy

Lipoma Preservation (group B)

Active Comparator group

Description:

preservation of spermatic cord lipoma detected during subinguinal varicocelectomy in infertile males

Treatment:

Procedure: subinguinal varicocelectomy