Percutaneous varicocele embolization in the treatment of infertility

Autor: T B Hargreave, I N Gillespie, J M Ferguson, N Chalmers, R A Elton
Rok vydání: 1995
Předmět:
Zdroj: The British Journal of Radiology. 68:700-703
ISSN: 1748-880X
0007-1285
DOI: 10.1259/0007-1285-68-811-700
Popis: Clinical and sub-clinical varicoceles are associated with infertility and abnormal sperm parameters. Percutaneous embolization is a minimally invasive, safe, outpatient method of treatment which is cost effective in comparison to surgery. This study is a retrospective review of embolization of the spermatic vein using stainless steel occluding spring coils, performed in 116 males from two infertility clinics. Follow-up results were complete in 87 patients of which 79 (91%) were successful both technically and clinically and all had sperm analysis performed both before and within 2 years after embolization. There was a highly significant increase in motility (mean 35% before, mean 46% after, p < 0.001). Sperm density showed a trend towards improvement, but only p < 0.10, and there was no significant change in semen volume or morphology. The partners of 29 men (33%) became pregnant in a total of 241 years of follow-up.
Databáze: OpenAIRE