Treatment of male varicoceles by transcatheter polidocanol foam sclerotherapy: evaluation of clinical success, complications, and patients' satisfaction with regard to alternative techniques

European Radiology
Alma AliMarcus Treitl

Abstract

We report our experience with polidocanol foam sclerotherapy with no additional coils, evaluating clinical success, patients' satisfaction, and complications. We conducted a retrospective study of 141 patients with 146 varicoceles (mean age: 29.3 years; range: 13 - 60 years) who underwent foam sclerotherapy with polidocanol 2% (range: 2 - 12 ml) in an outpatient setting between January 2007 and December 2013. For the follow-up, telephone interviews with the patients were conducted (mean follow-up time: 46.4 months, standard deviation: 20.17 months). The technical success rate was 91.8%. There was a 55.8% response rate to the telephone interviews. Follow-up revealed a clinical success rate of 83.9% and a persistence or relapse rate of 16.1%. Of the patients, 81.9% were absolutely satisfied with the outcome. In 94.9% of cases, pain or discomfort resolution was reported, and in 97% of cases, aesthetic issues were no longer a problem. Of partners, 63.2% achieved pregnancy, and in 50% of patients with preprocedural testicular atrophy, catch-up growth was observed. One patient with pampiniform plexus phlebitis received inpatient treatment with no long-term damage recorded. Polidocanol foam varicocele sclerotherapy is a safe and effec...Continue Reading

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Citations

Jun 9, 2018·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Yuji EsoHiroshi Seno
May 1, 2021·Journal of Clinical Medicine·Francesco TiralongoAntonio Basile
Jun 11, 2021·Seminars in Interventional Radiology·Vibhor WadhwaTimothy D McClure
Jun 8, 2021·Jornal Vascular Brasileiro·Sergio Quilici BelczakNathalia Almeida Cardoso da Silva

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