Comparing removal versus keeping spermatic cord lipoma during varicocele surgery
Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy in Infertile Men With Oligo-asthenzoospermia: A Prospective Randomized Trial.
This study is testing whether removing or keeping a fatty lump in the sperm cord during varicocele surgery makes a difference in fertility for men with infertility issues.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Male |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, Gharbeya) |
| Trial ID | NCT06257459 on ClinicalTrials.gov |
What this trial studies
This study involves adult males with infertility issues related to clinical varicoceles. Participants will undergo subinguinal varicocelectomy, and those with spermatic cord lipoma found during surgery will be randomly assigned to either have the lipoma excised or preserved. The semen parameters of both groups will be evaluated at 3 and 6 months post-surgery to determine the impact of the intervention. The goal is to assess whether the excision of the lipoma affects fertility outcomes.
Who should consider this trial
Good fit: Ideal candidates are adult males experiencing infertility due to clinical varicoceles and oligo-asthenospermia.
Not a fit: Patients with adolescent varicocele, recurrent varicocele, inguinal hernia, or azoospermia may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide insights into optimal surgical approaches for improving male fertility.
How similar studies have performed: While there may be studies on varicocelectomy and its effects on fertility, the specific comparison of excision versus preservation of spermatic cord lipoma is a novel approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult infertile males * Clinical varicocele * Semen analysis show oligo-athenospermia Exclusion Criteria: * Adolescent varicocele * Recurrent varicocele * Presence of inguinal hernia * Azospermic patients
Where this trial is running
Tanta, Gharbeya
- Ahmed Zoeir — Tanta, Gharbeya, Egypt (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.