Treatment Results:

What are the Surgical options

Surgical Approach	Cost	Recurrence of varicocele	Improvement in Semen	Potential for Morbidity
1. Paloma's (Retroperitoneal open approach)	++	Yes	20% to 30%	No
2. Laparoscopic approach	+++ Costly	Yes. Very high recurrence rate.	20%	Serious morbidity possible. No proven benefit.
3. Microsurgical Trans Inguinal approach	+++	No	40% to 50%	No
4. Radiological balloon occlusion approach	++++ Costly	Yes. Very high recurrence rate.	30% to 40%	No
5. Cremasteric disruption with venous ligation	++	NIL	97% improvement in Semen. Pregnancy rates observed by Dr. Parag Shah 64% pregnancy rate at one year 80% pregnancy rate at 2 years.	No. Low cost, ambulatory (walk-in, walk-out from operating table) High success rate.

CDVL Tech:

By Dr Parag Shah:

Conclusion:

97% improvement in Semen.
64% pregnancy rate at one year
80% pregnancy rate at 2 years
Ambulatory (walk-in, walk-out from operating table)