SELF-EXPIERENCE IN VARICOCELE TREATMENT USING
PERCUTANEOUS OBLITERATION IN GROUP OF 54 PATIENTS
Article published in Urologia Polska 1997/50/2.
authors
-
Tomasz Stachowski 1, P. Skrzywanek 2, Zbigniew Kwias 1, Andrzej Karwowski 2
- 1 Katedra I Klinika Urologii AM Poznań
Kierownik: prof. dr hab. Z. Kwias
2 Zaktad Radiologii Ogólnej Instytutu Radiologii AM Poznań
Kierownik: prof. dr hab. A. Karwowski
keywords
-
spermatic cord ? varicocoele ? phlebography ? obliteration
summary
- Objective. From a lot of different methods of varicocele treatment recently the most
- popular is laparoscopic ligation of left spermatic vein. Percutaneus embolization of
- varicocele is still performed succssesfully in the world.
- Material and method. From October 1993 to May 1996 54 patients were treated by
- Percutaneous obliteration of spermatic vein. Technical efficacy was find at group of 47
- patients and was confirmed by left spermatic vein flebography, 3 patients requaired
- obliteration again. Time of staying in the hospital was 1 day.
- Results. We did not observe side effects of treatment. Follow-up examination was
- performed 6 and 12 months after and cofirmed efficacy of treatment.
- Conclusions. In our opinion Percutaneous obliteration of left spermatic vein is effective
- and safe method of varicocele treatment.
references
- [1] Bach, D., Bahren, W., Gall, H., Altwein, J. E.: Spatergebnisse nach Sklerothera-
- pie der Varikozele. Urologe, A., 1984, 23(6), 338-341.
- [2] Bahren, W., Lenz, M., Porst, H., Wierschin, W.: Nebenwirkungen, Komplika-
- tionen und Kontraindikationen der perkutanen Skier other apie der V. spermatica in-
- terna zur Behandlung der idiopathischen Varikozele. ROFO-Fortschr. Geb. Ront-
- genstr. Nuklearmed., 1983,138 (2), 172-179.
- [3] Belgrano, E., Puppo, P., Quattrini, S., Trombetta, C, Giuliani, L.: The role of
- uenography and sclerotherapy in the management ofvaricocele. Eur. Urol., 1984,
- 10 (2), 124-9.
- [4] Braedel, H. U., Steffens, }., Ziegler, M., Polsky, M. S., Platt, M. L.: A possible
- Ontogenic etiology for idiopathic left varicocele. J. Urol., 1994,151 (1), 62-66.
- [5] Demas, B. E., Hricak, H., McClure, R. D. T. I.: Varicoceles. Radiologic diagno-
- sis and treatment. Radiol. Clin. North. Am., 1991, 29 (3), 619-27.
- [6] Gasparini, D.: Evaluation of the results ofvarious technics of non-surgical thera-
- py ofyaricocele. Radiol. Med. Torino, 1987, 73 (4), 304-309.
- [7] Hunter, D. W., King, N. J. 3d., Aeppli, D. M., Yedlicka, J. W. Jr., Castane-
- da-Zuniga, W. R., Hulbert, J. C, Kaye, K, Amplatz, K: Spermatic vein occ-
- lusion with hot contrast material: angiographic results. J. Vasc. Interv. Radiol.,
- 1991, 2 (4), 507-515.
- [8] Kunnen, M., Comhaire, F: Non-sugical cure ofvaricocele by trans-catheter em-
- bolization of internal spermatic vein with a tissue adhesive (Histacryl). I. Radiolo-
- gy 1991, 73-101.
- [9] Lund, L., Rasmussen, H. H., Ernst, E.: Asymptomatic varicocele testis. Scand.
- J. Urol. Nephrol., 1993, 27 (3), 395-398.
- [10] Meacham, R. B., Townsend, R. R., Rademacher, D., Drose, J. A.: The inci-
- dence ofvaricoceles in the general population when evaluated by physical examina-
- tion, gray scale Sonography and color Doppler Sonography. J. Urol., 1994,151 (6),
- 1535-1538.
- [11] Nieschlag, E., Behre, H. M, Schlingheider, A., Nashan, D? Pohl, J., Fi-
- schedick, A. R.: Surgical ligation vs. angiographic embolization of the vena sper-
- matica: a prospectwe randomized study for the treatment ofvaricocele-related infer-
- tility. Andrologia, 1993, 25 (5), 233-237.
- [12] Porst, H., Bahren, W., Lenz, M., Altwein, J. E.: Percutaneous sclerotherapy of
- varicoceles - an alternative to conventional surgical methods. Br. J. Urol., 1984, 56
- (1), 73-78.
- [13] Riedl, P., Kumpan, W., Maier, U., Stackl, W., Lunglmayr, G.: Long-term re-
- sults after sclerotherapy of the spermatic vein in patients with varicocele. Cardio-
- vasc. Intervent. Radiol., 1985, 8 (1), 46-49.
- [14] Reyes, B. L., Trerotola, S. O., Venbrux, A. C, Savader, S. ]., Lund, G. B.,
- Peppas, D. S., Mitchell, S. E., Gearhart, J. P, White, R. I. Jr., Osterman, F. A
- Jr.: Percutaneous embolotherapy ofadolescent uaricocele: results and long-term fol-
- low-up. J. Vasc. Interv. Radiol., 1994, 5 (1), 131-134.
- [15] Stassen, C. M., Weil, E. H., Janevski, B. K. T. I.: Left renal vein compression
- syndrome (?nutcrackerphenomenon"). ROFO-Fortschr. Geb. Rontgenstr. Nukle-
- armed., 1989,150 (6), 708-710.
- [16] Winkelbauer, F., Karnel, F., Ammann, M. E., Hofbauer, J.: Sonographische
- Diagnostik persistierender Varikozelen nach Sklerotherapie. Ultraschall. Med., 1994,
- 15 (1), 29-32.
- [17] World Health Organization (1992): The influence ofvaricocele on parametrs of
- fertility in large group of men presenting to infertelity clinics. Ferltil Steril, 57,
- 1289-1293.
- [18] Zieliński, ]., Leńko, J. red.: Urologia. PZWL, Warszawa 1993, Tom II, 600.
- [19] Zuckerman, A. M., Mitchell, S. E., Venbrux, A. C, Trerotola, S. O., Sava-
- der, S. ]., Lund, G. B., White, R. I Jr., Osterman, F. A Jr.: Percutaneous varico-
- cele occlusion: long-term follow-up. J. Vasc. Interv. Radiol., 1994, 5 (2), 315-319.
- [20] Oshinsky, G. S., Rodrigez, M., Mellinger, B. C: Varicocele ? related infertility
- is not assocaited with increased sperm bound antibodiy. J. Urol., 1993,150, 871.
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