Outcome of Varicocele Surgery and Infertility at Prince Hussein Urology Center

The article is from a peer-reviewed journal, from Prince Hussein Bin Abdullah II Center for Urology Location of the study is in the Saudi Arabia, not similar with our country The results, if valid, would be applicable to our practice The study was not sponsored by any organization that might influence the study design or results

This information will have a direct impact on the health of our patients & something they will care about. The problem addressed in this article : Varicocele, is common to our practice . The intervention Varicocelectomy, is feasible and available This information, will require us to change our current practice

 To describe the outcome of surgical techniques for the treatment of testicular varicosity to improve fertility among infertile male at Prince Hussein Urology Center.

Clinical category

Description

Preferred Study Design

Therapy

Tests the effectiveness of a treatment, such as a drug, surgical procedure, or other intervention Measures the validity (is it dependable?) and reliability (will the same results be obtained every time?) of a diagnostic test, or evaluates the effectiveness of a test in detecting disease at a pre symptomatic stage when applied to a large population

Randomized, doubleblinded, placebocontrolled trial Cross-sectional survey (comparing the new test with a reference standard)

Diagnosis

Causation

Assesses whether a substance is related to the development of an illness or condition

Cohort or case-control

Prognosis

Determines the outcome of a disease

Longitudinal cohort study

Level 2 of Evidence
Level Therapy/Prevention, Aetiology/Harm SR (with homogeneity* ) of cohort studies Prognosis Diagnosis 2a SR (with homogeneity*) of either retrospective cohort studies or untreated control groups in RCTs SR (with homogeneity*) of Level >2 diagnostic studies

2b

Individual cohort study (including low quality RCT; e.g., <80% follow-up)

Retrospective cohort study or follow-up of untreated control patients in an RCT; Derivation of CDR or validated on split-sample only

Exploratory** cohort study with goodreference standards; CDR after derivation, or validated only on split-sample or databases

2c

"Outcomes" Research; Ecological studies

"Outcomes" Research

A B C D

consistent level 1 studies consistent level 2 or 3 studies or extrapolations from level 1 studies level 4 studies or extrapolations from level 2 or 3 studies level 5 evidence or troublingly inconsistent or inconclusive studies of any level