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RECURRENCE OF VARICOCELE AFTER HIGH RETROPERITONEAL REPAIR: IMPLICATIONS OF INTRAOPERATIVE VENOGRAPHY

2001; Lippincott Williams & Wilkins; Volume: 165; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(05)66579-2

1527-3792

Jerzy Niedzielski, Darius A. Paduch,

Urologic and reproductive health conditions

No AccessJournal of UrologyPEDIATRIC UROLOGY1 Mar 2001RECURRENCE OF VARICOCELE AFTER HIGH RETROPERITONEAL REPAIR: IMPLICATIONS OF INTRAOPERATIVE VENOGRAPHY JERZY NIEDZIELSKI and DARIUS A. PADUCH JERZY NIEDZIELSKIJERZY NIEDZIELSKI and DARIUS A. PADUCHDARIUS A. PADUCH View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66579-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined whether intraoperative venography results in a decreased recurrence rate after varicocele repair in adolescence. Materials and Methods: We evaluated 177 male adolescents 14 to 19 years old who underwent varicocele repair via the high retroperitoneal approach with artery sparing and intraoperative venography. Results: Overall the recurrence rate was 2.8% (5 of 177 cases) in the venography group and 11% in historical controls without venography. We identified left-to-right cross communicating vessels in 3 patients with recurrence. Intraoperatively venography revealed nonligated vessels in 21 patients (12%), resulting in revision and repair during the same procedure. Conclusions: Intraoperative venography seems to decrease the rate of recurrence. Left-to-right cross communicating vessels may be present in some adolescents with recurrence after varicocelectomy. References 1 : Adolescent varicocele: current concepts. Semin Urol1988; 6: 140. Google Scholar 2 : The adolescent varicocele: what’s new with an old problem in young patients?. Pediatrics1997; 100: 112. Google Scholar 3 : Varicocele in youth. West J Med1983; 138: 832. Google Scholar 4 : Assessment of adolescent varicocele. Pediatr Surg Int1997; 12: 410. Google Scholar 5 : Repair versus observation in adolescent varicocele: a prospective study. J Urol1997; 158: 1128. part 2. Link, Google Scholar 6 : Semen analysis in young men with varicocele: preliminary study. 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Volume 165Issue 3March 2001Page: 937-940 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.KeywordsrecurrencephlebographyscrotumvaricoceleMetricsAuthor Information JERZY NIEDZIELSKI More articles by this author DARIUS A. PADUCH More articles by this author Expand All Advertisement PDF downloadLoading ...