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Objective : Our objective was to compare between endovascular varicocele embolization Vs varicocele surgery , for the treatment of varicocele . varicocele is considered the most common surgical cause of male infertility . Methods : Retrospective review of the prince Hussein Medical Center varicocele database . We reviewed a total of 265 patients , All of the patients in the database had clinical varicoceles confirmed by scrotal ultrasonography , a total 45 patients underwent unilateral varicocele embolization, and a total 220 patients underwent bilateral and unilateral varicocele surgery in Prince Hussein Center of Urology and Organ transplantation , between January 2015 and March 2017 . Patients have been followed up at the urology outpatient clinic , and by their semen fluid analysis to assess the results . Results : In patients who underwent varicocele embolization , the failure rate was 3 % , and the recurrence rate were 3 % , sperm motility improved in all patients , with no complications related to the procedure . In the other hand , in patients who underwent varicocele surgery , the recurrence rate was 7 % , sperm motility improved in all patients too , and there are no documented complications in all patients . Conclusion : Both methods , have similar result regarding semen fluid analysis improvement , and recurrence rate ( in the international studies . recurrence rate between 5 and 10 % ) . but the surgical option is is less than embolization .

     

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