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Sclerotherapy of hydroceles and spermatoceles with alcohol: results and effects on the semen analysis
Shan, Chen Jen; Lucon, Antonio Marmo; Pagani, Rodrigo; Srougi, Miguel.
Afiliación
  • Shan, Chen Jen; University of São Paulo. Medical School. Hospital das Clínicas. São Paulo. BR
  • Lucon, Antonio Marmo; University of São Paulo. Medical School. Hospital das Clínicas. São Paulo. BR
  • Pagani, Rodrigo; University of São Paulo. Medical School. Hospital das Clínicas. São Paulo. BR
  • Srougi, Miguel; University of São Paulo. Medical School. Hospital das Clínicas. São Paulo. BR
Int. braz. j. urol ; 37(3): 307-313, May-June 2011. graf, tab
Article en En | LILACS | ID: lil-596004
Biblioteca responsable: BR1.1
ABSTRACT

PURPOSE:

To evaluate the success rates of sclerotherapy of the tunica vaginalis with alcohol for the treatment of hydroceles and/or spermatoceles, as well as, evaluation of pain, formation of hematomas, infection and its effects in spermatogenesis . MATERIALS AND

METHODS:

A total of 69 patients, with offsprings and diagnosis of hydrocele and/or spermatocele, were treated during the period from April 2003 to June 2007. Semen analysis was obtained from patients who were able to provide us with samples. The sclerotherapy with alcohol at 99.5 percent was undertaken as outpatient procedure.

RESULTS:

The average volume drained pre-sclerotherapy was 279.82 mL (27 to 1145). The median follow-up was 43 months (9 to 80). A total of 114 procedures were performed on 84 units, with an average of 1.35 procedures / unit and an overall success rate of 97.62 percent. Of the 69 patients, 7 (10.14 percent) reported minor pain immediately after the procedure, 3 (4.35 percent) moderate pain and 2 (2.89 percent) intense pain. Post-Sclerotherapy spermograms revealed reduction of the parameters regarding concentration, motility and morphology up to 6 months post procedure , with return to normal parameters 12th months after procedure.

CONCLUSIONS:

Sclerotherapy of hydroceles and spermatoceles with 99.5 percent alcohol is an efficient procedure that can be perormed without difficulties, cost-effectiveness, with few side effects and which may be performed in patients who wish fertility.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Espermatocele / Escleroterapia / Etanol / Hidrocele Testicular Tipo de estudio: Evaluation_studies Límite: Adult / Aged / Aged80 / Humans / Male Idioma: En Revista: Int. braz. j. urol Asunto de la revista: UROLOGIA Año: 2011 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Espermatocele / Escleroterapia / Etanol / Hidrocele Testicular Tipo de estudio: Evaluation_studies Límite: Adult / Aged / Aged80 / Humans / Male Idioma: En Revista: Int. braz. j. urol Asunto de la revista: UROLOGIA Año: 2011 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil