Antegrade scrotal sclerotherapy of internal spermatic veins for varicocele treatment: technique, complications, and results.

DISCUSSION Despite for several years the benefit of varicocele treatment has not been clear, a recent meta-analysis of four randomized controlled trials of varicocelectomy in men with a clinical varicocele and semen parameters impairment showed a trend in favor of surgical correction. 9 Varicocele treatment as demonstrated in a randomized controlled trial showed superiority over observation in infertile men with palpable varicoceles and impaired semen quality, with increasing the odds of natural pregnancy and improvements in semen characteristics

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