Mohannad Al-Naser - consultant radiology , Royal Medical Services , Jordan
Sizeph Haddad - consultant radiology , Royal Medical Services , Jordan
Firas Khori - consultant urology , royal medical services , Jordan
Ashraf Al-Majali - Specialist urology , Royal Medical Services , Jordan

ObjectiveOur objective was to compare between endovascular varicocele embolization Vs varicocele surgery ,for the treatment of varicocele . varicocele is considered the most common surgical cause of male infertility .Methods : Retrospective review of the prince Hussein Medical Center varicocele database . We reviewed a totalof 265 patients , All of the patients in the database had clinical varicoceles confirmed by scrotal ultrasonography, a total 45 patients underwent unilateral varicocele embolization, and a total 220 patients underwent bilateraland unilateral varicocele surgery in Prince Hussein Center of Urology and Organ transplantation , betweenJanuary 2015 and March 2017 . Patients have been followed up at the urology outpatient clinic , and by theirsemen fluid analysis to assess the results .Results : In patients who underwent varicocele embolization , the failure rate was 3 % , and the recurrence ratewere 3 % , sperm motility improved in all patients , with no complications related to the procedure . In the otherhand , in patients who underwent varicocele surgery , the recurrence rate was 7 % , sperm motility improved inall patients too , and there are no documented complications in all patients .Conclusion : Both methods , have similar result regarding semen fluid analysis improvement , and recurrencerate ( in the international studies . recurrence rate between 5 and 10 % ) . but the surgical option is is less thanembolization .

infertility , varicocele , embolization