الفهرس | Only 14 pages are availabe for public view |
Abstract Abstract Background:Varicocele, a dilation of veins within the pampiniform plexus, are present in 15% of the general male population. It is also one of the most frequent causes of male-factor infertility, with a prevalence of 30%–40% among men presenting for primary infertility evaluation and up to 85% in secondary infertility,Percutaneous embolization of varicocele requires selective catheterization of the internal spermatic vein(s) followed by its occlusion with N-butyl cyanoacrylate: lipidol mixture. Objective: The aim of this study is to discuss the role of N-buty cyanoacrylate for gonadal vein embolization in treatment varicocele causing testicular pain or infertility. Methodology: this study was carried out in Radiology Department of Ain Shams University Hospitals. This сross seсtionɑƖ desсriptive study inсƖuded 20 pɑtients with vɑriсoсeƖe presented ƅy pain, infertility or recurrence after surgery and diɑɡnosis wɑs confirmed ƅy uƖtrɑsound. Result: varicocele embolization has significant role in improving scrotal pain and infertility . Conclusion: The use of N2BCA as an embolic agent for percutaneous treatment of varicoceles is a thera-peutic alternative that is effective, safe, simple and inex-pensive. N2BCA triggers a local inflammatory reaction that promotes sclerosis and thrombosis. The liquid nature of the embolization product allows diffusion through the gonadal vein and their collaterals, which appears to reduce recurrence and improve results. |