Which is better varicocele surgery or embolization?
The overall failure rate of 3.2% for left-sided embolization attempts is comparable to the 3.25% published rate of failure for surgical varicocele repair; this result suggests that these two options are equally effective, although embolization offers some advantages in terms of recovery time and safety.
Which is the best surgery for varicocele?
Performed by a urologist, open ligation is the most common treatment of varicoceles that cause symptoms for the patient. Varicocele embolization, a nonsurgical treatment performed by an interventional radiologist, is as effective as surgery with less risk involved, less pain and less time for recovery.
What is the success rate of varicocele embolization?
There is a 90% success rate with embolization, which are the same results as those achieved with more invasive surgical techniques.
Does varicocele disappear after embolization?
It usually diverts blood flow into other nearby veins. The blood can then exit the scrotum normally. If successful, the varicocele will go away.
How big is a coil for varicocele embolization?
The size of coils was determined by the vein caliber, using a coil 40% larger than the vein (for example, an 8 mm coil for a 6 mm vein). Additional coils were used until satisfactory occlusion (mostly between 3–6).
How does a radiologist treat varicocele embolization?
A radiologist uses a coil or special agents to block (or embolize) the vein. This can help improve symptoms. Your scrotum is the sac that contains your testes, blood vessels, and part of your spermatic cord. Sperm are normally made in the testes. They travel through the spermatic cord’s duct system.
Is it safe to use glue for varicocele embolization?
For patients referred for testicular pain, clinical success rate was 66.67% using glue and 88.24% using coils (P = 0.2147). Recurrence rate was 11.54% with glue and 5.83% with coils ( P = 0.4000). Procedure time was significantly shorter with glue ( P = 0.0054). Glue and coils are both safe and effective for varicocele embolization.
Which is the best treatment for varicocele in men?
Surgical ligation and percutaneous embolization of the internal spermatic vein are the main therapeutic options for men with varicocele.
