Safety and effectiveness of the different types of embolic materials for the treatment of testicular varicoceles: a systematic review

The British Journal of Radiology
Gregory C MakrisCharles Tapping

Abstract

The purpose of this study is to assess the current evidence regarding the safety and effectiveness of the various embolic materials used in varicoceles embolization. A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Databases were searched for clinical studies that investigated the clinical outcomes of embolization treatment for the management of testicular varicoceles. Study methodological quality was analyzed. 23 retrospective and 7 prospective clinical studies were identified with a total of 3505 patients. Technical success rates appear to be above 90% for all embolic materials without any significant differences. In terms of recurrence rates, glue (N = 251) appeared to have the lowest and sclerosants alone (N = 728) the highest recurrence rates which were 4.2% (11-3.08%, SD: 5.9) and 11.03% (18.8-5.15%, SD: 6.06) within an average follow up (f/u) of 16.13 and 25.48 months respectively. Coils alone (N = 898) had an average recurrence rate of 9.1% (17.8-1.4%; SD: 5.79) and a mean f/u of 39.3 months. After an average of 12 months of f/u, the addition of sclerosants (N = 1628) as an adjunct to coils did not improve recurrence rates (8.44%, 16.5-5.1%...Continue Reading

References

Mar 1, 1978·Andrologia·S S LimaO F Costa
Jan 1, 1992·The Journal of Urology·P G HagoodR O Parra
Sep 1, 1984·Urology·E J NadelsonE Leiter
Apr 1, 1983·The Journal of Urology·T T Turner
Jul 1, 1995·The British Journal of Radiology·J M FergusonT B Hargreave
Jul 27, 1999·World Journal of Urology·H D Nöske, W Weidner
Oct 5, 2001·Journal of Pediatric Surgery·G Mazzoni
May 3, 2002·Journal of Pediatric Surgery·Aayed AlqahtaniLaurent Garel
Sep 17, 2002·International Urology and Nephrology·S R KeoghaneJ Kabala
Feb 15, 2003·Annals of the Royal College of Surgeons of England·C Sivanathan, L J Abernethy
Feb 14, 2004·Urologia Internationalis·M PolitoG Balercia
Jun 15, 2004·Fertility and Sterility·Sandra J TanahatoeCornelis B Lambalk
Mar 23, 2007·International Journal of Andrology·Cataldo Di BisceglieChiara Manieri
Mar 18, 2008·Journal of Vascular and Interventional Radiology : JVIR·Eric ReinerRobert I White
May 4, 2010·Journal of Vascular and Interventional Radiology : JVIR·Long LiYan-Hao Li
Jul 28, 2013·Acta Radiologica·José UrbanoAlberto Alonso-Burgos
Jan 1, 2014·Basic and Clinical Andrology·Julie PrasivoravongJean-Marc Rigot

❮ Previous
Next ❯

Citations

Feb 13, 2020·Journal of Medical Imaging and Radiation Oncology·Mark SheehanMichael J Lee
Dec 7, 2018·Cardiovascular and Interventional Radiology·Laura Maria MongioìAldo Eugenio Calogero
Mar 1, 2021·Journal of Vascular and Interventional Radiology : JVIR·Sean R DariushniaCurtis A Lewis
May 1, 2021·Journal of Clinical Medicine·Francesco TiralongoAntonio Basile
Jun 8, 2021·Journal of Vascular and Interventional Radiology : JVIR·Marc SapovalRomaric Loffroy
Aug 28, 2021·Journal of Clinical Medicine·Ana Paula SousaJoão Ramalho-Santos

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

© 2022 Meta ULC. All rights reserved