Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy

Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy in Infertile Men With Oligo-asthenzoospermia: A Prospective Randomized Trial.

Status

Recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06257459

Enrollment

200

Registered

2024-02-14

Start date

2023-01-01

Completion date

2024-12-01

Last updated

2024-02-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Male Infertility

Brief summary

In the current study, the adult infertile patients with clinical varicoceles will be included. the patients will undergo subinguinal varicocelectomy. The patients with spermatic cord lipoma detected at the time of surgery will be enrolled and divided into 2 groups( excision group, group A and preservation group (B). semen parameters will be compared in both group at 3 and 6 months after surgery

Detailed description

This will be a prospective randomized study, in which adult infertile patients with clinical varicocele and oligo-athenospermia admitted to Urology department Tanta university hospital will be included and then the patients with detected spermatic cord lipoma at the time surgery will be enrolled and divided into 2 groups: GROUP A : will undergo subinguinal varicocelectomy with excision of spermatic cord lipoma GROUP B : will undergo subinguinal varicocelectomy with preservation of spermatic cord lipoma Inclusion criteria: * Adult infertile males * Clinical varicocele * oligo-asthenospermia Exclusion criteria: * Adolescent varicocele * Recurrent varicocele * Presence of inguinal hernia * Azospermic patients

Interventions

PROCEDUREsubinguinal varicocelectomy

exision or preservation of spermatic cord lipoma during subinguinal varicocelectomy

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

MALE

Age

18 Years to 50 Years

Healthy volunteers

Yes

Inclusion criteria

* Adult infertile males * Clinical varicocele * Semen analysis show oligo-athenospermia

Exclusion criteria

* Adolescent varicocele * Recurrent varicocele * Presence of inguinal hernia * Azospermic patients

Design outcomes

Primary

Measure	Time frame	Description
semen parameters improvement	3 and 6 months after surgery	semen analysis
symptoms improvement (pain and swelling)	3 and 6 months after surgery	improvement of preoperative scrotal pain and swelling was assessed

Secondary

Measure	Time frame	Description
postoperative complications	early after surgery and late	post-operative scrotal edema, hematoma and wound infection were assessed

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026