الفهرس 
Anatomical backgroundOnly 14 pages are availabe for public view
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Abstract
Background: A varicocele is a collection of dilated veins in the pampiniform plexus that drains the testicles and is located in the upper scrotum just above the affected testis. Varicocele is the most common correctable cause of male infertility. A clinical varicocele is observed in 10–20% of the general population, in 35–40% of men with primary infertility and in up to 80% of men with secondary infertility. Aim of Work: This study was conducted to evaluate the high ligation operation (Palomo Technique) in varicocele as regard to: Semen parameters (volume, concentration, motility and percentage of normal morphology of sperms), serum levels of (LH and FSH) and complications of the procedure. Patients and Methods: This clinical study was conducted on forty patients with varicocele in Ain Shams University Hospital from March to October 2017. The indications of surgery were primary varicocele with infertility, chronic scrotal pain or both. Results: The average operative time for the first 20 operations was 60 minutes for unilateral operations and 90 minutes for bilateral cases. With increasing familiarity with the technique, there were no recurrence, complete postoperative semen analysis obtained from the 37 patients revealed a significant improvement following the surgery, FSH levels were decreased after surgery than before and testosterone levels increased after surgery indicating significant improvement in testicular functions, but there were no significant differences in baseline LH. Conclusion: Varicocelectomy is recommended for all patients with varicocele related scrotal pain and primary infertility with at least abnormality of one semen parameter as regard the count, motility and abnormal forms. Our results point out that high ligation varicocelectomy in the treatment of varicocele is successful in our selected group of patients as there was significant improvement occurred in all semen parameters, also there was neither recurrence nor testicular atrophy postoperatively. Recommendations: Further studies on a larger scale of patients are needed to confirm the results obtained this work.