Microsurgical bypass for varicocele with nutcracker syndrome / 中华男科学杂志
National Journal of Andrology
;
(12): 798-803, 2017.
Article
in Chinese
| WPRIM
| ID: wpr-812876
ABSTRACT
Objective@#To investigate the clinical effect and feasibility of internal spermatic vein-inferior epigastric vein (ISV-IEV) bypass surgery in the treatment of varicocele complicated by left renal vein nutcracker syndrome (NCS).@*METHODS@#We retrospectively analyzed the clinical data about 30 cases of varicocele with left renal vein NCS treated by ISV-IEV bypass surgery in our hospital from June 2014 to February 2017. We reviewed the follow-up data and results of ultrasonography, routine urianlysis and semen routine examination.@*RESULTS@#All the operations were successfully accomplished and postoperative color Doppler ultrasonography showed that varicocele was cured in all the cases. At 6 months after surgery, sperm concentration and the percentage of grade a+b sperm were significantly improved ([34.47 ± 8.60] ×10⁶/ml and [63.54% ± 9.58] %) as compared with the baseline ([19.90 ± 8.97] ×10⁶/ml and [37.93 ± 8.73] %) (P <0.05). Hematuria was cured in 23 and alleviated in 1 of the 24 cases. Proteinuria disappeared in all the 14 cases, with neither scrotal pain symptoms nor obvious complications.@*CONCLUSIONS@#ISV-IEV bypass surgery, with its advantages of safety, effectiveness, minimal invasiveness, and simple operation, deserves wide clinical application in the treatment of varicocele with left renal vein NCS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Proteinuria
/
Renal Veins
/
General Surgery
/
Varicocele
/
Vascular Surgical Procedures
/
Veins
/
Anastomosis, Surgical
/
Diagnostic Imaging
/
Feasibility Studies
/
Retrospective Studies
Type of study:
Diagnostic study
/
Observational study
Limits:
Humans
/
Male
Language:
Chinese
Journal:
National Journal of Andrology
Year:
2017
Type:
Article
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