Simultaneous microsurgical spermatic vein ligation and sclerotherapy. a combined procedure for the treatment of recurrent or persistent varicocele.
Eur Urol
; 40(3): 350-3, 2001 Sep.
Article
em En
| MEDLINE
| ID: mdl-11684854
ABSTRACT
OBJECTIVES:
Microsurgical ligation as well as antegrade sclerotherapy have been established in varicocele treatment. The aim of this study was to evaluate whether a combination of microsurgery and sclerotherapy can provide a safe and effective treatment of varicocele recurrence or persistence.METHODS:
Nine patients with recurrent or persistent varicoceles were operated by means of the combination method. Under microscopic control varix veins were ligated selectively preserving lymphatics and arteries. Ectopic veins as a possible source for varicocele persistence or recurrence were also ligated. Finally, an intraoperative venography with subsequent sclerotherapy was performed through one of the dissected veins.RESULTS:
Despite difficult anatomical situations after previous surgical interventions, the operations were performed successfully without any complications. Clinical controls showed varicocele disappearance without damage of the testis. No varicocele recurrence or persistence was observed.CONCLUSIONS:
This method combines the advantages of both methods. Precision of the microsurgical technique is combined with velocity of sclerotherapy. Thus, it may represent an interesting alternative to conventional operation methods especially in the treatment of recurrent or persistent varicoceles.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cordão Espermático
/
Varicocele
/
Escleroterapia
Limite:
Humans
/
Male
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article