Evaluating the result of changing semen analysis When treating of varicocele endovascular intervention using the sandwich technique at bach mai hospital

Phan Hoang Giang1, Nguyen Xuan Hien1, Nguyen Thi Bich Ngoc2, Le Van Khanh1, Do Huy Hoang3,
1 Doctor of Diagnostic Imaging Department, Bach Mai Hospital
2 Doctor of medical examination, Bach Mai hospital
3 Resident Doctor of Radiology, Hanoi Medical University

Main Article Content

Abstract

SUMMARY


Purpose: Evaluating the result of changing semen analysis when treating varicocele endovascular intervention by sandwich technique combining Coils and glue (histocryl).
Methods and objectives: 78 patients were diagnosed and treated successfully at Bach Mai hospital from 5/2009 to 5/2017, they were examined, performed semen analysis and
ultrasound at before and after 6 months of embolization.
Result: The average age of 22.6 years old, the
hospitalized reasons is mainly scrotal pain, with 76.9%. After 6 months of treatment, all patients have pain reduction, the pain scores decreased from 6.7 points to 1.2, p < 0.05. Increasing sperm concentration from 10 million/ml to 21 million/ml, sperm
mobility increased from 27% to 55%, p <0.05. Spermatic vein diameter returns to normal limits and have no reflux line after 6 months. No major or minor complications during the
intervention and 6 months after intervention
Conclusion: Embolization of spermatic vein with technique sandwich combined Coils and glue to treat varicocele is safe and high effective on improving semen’s quality and quantity.

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References

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