González-Romero G, Padilla-Cuevas R, Padilla-Cuevas R, Samano-Pozos J, Acevedo-Alvarez JJ, Nava-Carrillo AD

Language: Spanish
References: 3
Page: 17-20
PDF size: 152.01 Kb.

ABSTRACT

Introduction: Varicocele is a very controversial surgical pathology in the diagnosis, surgical indication and even in surgical technique. You have several questions in his trataminto. To resolve these questions we decided to make only one surgical technique is to Ivanissevich and present to you our experience.
Material and Methods: A retrospective study in two general hospitals, the work was done on the basis of two earlier cases where the artery was ligated not recurred. The indication for surgery was: large varicocele, pain and diminished size of affected testis in relation to the contralateral, we studied age, surgical indications and complications.
Results: There were a total of 67 cases in 15 years. Percentage of surgical indications were large varicocele, testicular volume decreased and pain. The most frequent complications were: hydrocele in six cases, even when patients have been followed has not reported any testicular atrophy or hypotrophy
Discussion: The most controversial topic is whether the surgical technique should only link the artery or veins. The experience of us is that there were proportionately more recurrences when the vein ligated only when fully linked vascular bundle and there was no testicular atrophy due to lack of irrigation.
Conclusions: The indications of varicocelectomy are: Major varicocele, testicular volume and decreased pain. The technique used is high ligation of the entire vascular bundle. In our cases there was no report atrophic testis

REFERENCES

1. SkoogSJ. The adolecent varicocele: whats is the new with an old problem in young patients? Pediatrics. 100(1):112-21.1997.

2. Abdel-Meguid TA. Noinsufflative extraperitoneal laparoscopic caricocele ligation. Tech-Urol.3:112-5.1997.

3. Rivilla F. Testicular size following embolization of tha left internal espermatic vein non surgical treatment for varicocele. Cir ped 9(3): 108-12.1996.