en عمومى General پژوهشي Research 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 . infertility , varicocele , embolization 15 18 http://intjmi.com/browse.php?a_code=A-10-1-166&slc_lang=en&sid=1 Mohannad Al-Naser 10031947532846002752 10031947532846002752 Yes consultant radiology , Royal Medical Services , Jordan Sizeph Haddad 10031947532846002753 10031947532846002753 No consultant radiology , Royal Medical Services , Jordan Firas Khori 10031947532846002754 10031947532846002754 No consultant urology , royal medical services , Jordan Ashraf Al – Majali 10031947532846002755 10031947532846002755 No Specialist urology , Royal Medical Services , Jordan Abdelhakeem Ni'mate 10031947532846002756 10031947532846002756 No Specialist urology , Royal Medical Services , Jordan Rami Gsous 10031947532846002757 10031947532846002757 No Specialist urology , Royal Medical Services , Jordan Mohammad faisal mousa 10031947532846002758 10031947532846002758 No Specialist urology , Royal Medical Services , Jordan Mohammad ahmad al-qudah 10031947532846002759 10031947532846002759 No Specialist urology , Royal Medical Services , Jordan Anas Al-rabadi 10031947532846002760 10031947532846002760 No Specialist urology , Royal Medical Services , Jordan Ghaith Gsous 10031947532846002761 10031947532846002761 No 5th year resident general surgery , Royal medical services