Ishtiaq Ahmed Chaudhary, Muhammad Akmal Rehmani.
Varicocelectomy: Paloma`s Procedure Versus Ivanissevich`s Procedure.
J Coll Physicians Surg Pak Jan ;10(9):334-7.

This prospective study was carried out to see the age incidence of varicocele in our population and to compare the results of two commonly practiced surgical procedures i.e., Ivanissevich`s procedure and Paloma`s procedure. Seventy-two patients with the mean age of 24.7 years, having left-sided varicocele, were studied over two years. Among them 58.33% had Grade-II varicocele. Operative time and hospital stay was almost same in both the groups. However, postoperative complications rate with Ivanissevich`s procedure was comparatively more. Postoperative improvement in semen quality was found in 60% patients having history of infertility or sub-fertility.

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