Antegrade scrotal sclerotherapy for treating primary varicocele in children

BJU International
Paola ZaupaMichael E Höllwarth

Abstract

To evaluate the effectiveness and limitations of antegrade sclerotherapy (AS) for the treatment of primary varicocele in childhood. From December 1996 to December 2004, 88 patients (mean age 13.3 years, range 9-18) with primary varicocele underwent AS (91 varicocele ablations in all). The indications for surgery were testicular pain (16 boys, 18%), a large varicocele with cosmetic implications, testicular hypotrophy (one) and in 71 (81%) the varicocele was detected incidentally during a routine physical examination; all were left-sided. According to the classification used by Tauber, 46 (52%) varicoceles were grade II and 42 (48%) grade III. The clinical and ultrasonography (US) results were evaluated over a median (range) follow-up of 11 (3-60) months, and the operative duration, X-ray exposure time, persistence rate of varicoceles and complications were compared with those using other techniques. In 11 patients there was a palpable difference in size between the testicles, but in only five (6%) was testicular hypotrophy (testicular volume (<75% testicular volume vs the normal side) confirmed by US. The mean (sem) operative duration for AS was 33.2 (2.14) min. In 16 (18%) patients it was necessary to expose a second or third v...Continue Reading

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Citations

Mar 3, 2012·Cardiovascular and Interventional Radiology·Vittorio Iaccarino, Pietro Venetucci
Jul 1, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Peter Chan
Nov 29, 2011·Asian Journal of Andrology·Natalya A Lopushnyan, Thomas J Walsh
Jun 16, 2010·Nature Reviews. Urology·Marcello CimadorEnrico De Grazia
Jan 7, 2016·Asian Journal of Andrology·Joel L Marmar
Aug 24, 2010·The Journal of Urology·Nicola Zampieri
Jul 18, 2008·Journal of Pediatric Urology·Marco CastagnettiEnrico De Grazia
Sep 8, 2007·BJU International·Settin Cayan, Christopher R J Woodhouse
Mar 28, 2012·Nature Reviews. Urology·Marcello CimadorEnrico De Grazia
Jun 15, 2007·Current Opinion in Urology
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