Abstract
PurposeIn this study, we investigated the association between the body mass index (BMI) and varicocele recurrence post-intervention in our local Saudi population. We also explored the association between recurrence and other predictors such as age, laterality, indication for surgery, type of intervention, clinical grade, testicular delivery, and method of ligation.MethodsWe conducted a retrospective cohort study, including all patients who had microscopic varicocelectomy surgery or radiographic embolization for varicoceles over a five-year period. The data included demographic information and intervention-related variables. Descriptive and analytical statistics were used to analyze the data.ResultsWe included 147 patients who had microscopic varicocelectomy surgery or radiographic embolization. We categorized the patients according to their BMI as underweight, normal, overweight, and obese. We found no statistical association between any BMI group and the recurrence of varicocele (P>0.05). However, there was a significant association between the clinical grade and recurrence (P<0.05).ConclusionThis study did not show any significant correlation between height, weight, BMI, and varicocele recurrence after an intervention. The only predictor of varicocele recurrence was the clinical grade.
Highlights
A varicocele is an abnormal dilation of the venous pampiniform plexus of the spermatic cord
We categorized the patients according to their body mass index (BMI) as underweight, normal, overweight, and obese
We found no statistical association between any BMI group and the recurrence of varicocele (P>0.05)
Summary
A varicocele is an abnormal dilation of the venous pampiniform plexus of the spermatic cord. It is found in 15% of adolescent males and more than 30% of infertile men [1,2]. Many patients with a varicocele are fertile, the association with abnormalities in concentration, morphology, and motility of sperms has been reported [1]. Microsurgical inguinal and sub-inguinal approaches are the current standard of treatment as they allow access to the gubernacular and external spermatic veins [3]. Emerging radiographic occlusion techniques is a viable option in certain patients and are successful in 75% to 90% of the cases [3]
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