Results and complications of adolescent varicocele repair with intraoperative sodium morrhuate sclerotherapy

The Journal of Urology
Brett LebedMark Zaontz

Abstract

Adolescent varicocele has been shown to affect spermatogenesis and correlate with decreased ipsilateral testicular volume, prompting treatment in a select population. We report our experience with 3 varicocele ligation procedures in concordance with sclerotherapy in adolescent patients. A total of 120 males underwent varicocele surgery at our institutions during an 8-year period. Sodium morrhuate sclerotherapy was used in 91 patients and 73 adolescent males fulfilled the 6-month followup criteria. The 73 males who were 9 to 17 years old underwent a total of 75 (bilateral in 2) procedures for varicocele treatment. Of the patients 23 underwent subinguinal microscopic varicocelectomy (group 1), 9 underwent loupe assisted subinguinal varicocelectomy (group 2) and 41 underwent loupe assisted inguinal varicocelectomy (group 3). All patients received intraoperative sclerotherapy using sodium morrhuate injection. Outcome measures included recurrence, complications and catch-up growth at a minimum of 6 months of followup. The varicocele recurrence rate was 2.7% in patients receiving combined surgical ligation and sclerotherapy ablation. Group 1 had 2 recurrent varicoceles and no hydrocele formation, group 2 had no varicocele recurrence ...Continue Reading

References

Aug 1, 1992·The Journal of Urology·E J Kass, B Marcol
Jan 1, 1971·Scandinavian Journal of Urology and Nephrology·J Oster
Nov 1, 1993·Urology·M A Witt, L I Lipshultz
Jun 17, 1998·The Journal of Urology·G E LemackM Goldstein
May 1, 2001·Journal of Pediatric Surgery·C EspositoN Innaro
Jun 24, 2004·Journal of Pediatric Surgery·Vincenzo FicarraWalter Artibani

❮ Previous
Next ❯

Citations

Jul 1, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Peter Chan
Feb 18, 2014·Journal of Pediatric Surgery·David J B Keene, Raimondo M Cervellione
Oct 25, 2011·The Journal of Urology·Shannon N Nees, Kenneth I Glassberg

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.