Surgical subinguinal approach to varicocele combined with antegrade intraoperative sclerosis of venous vessels

Giovanni Maria Colpi, Luca Carmignani, Giorgio Bozzini, Stefano Picozzi

Research output: Contribution to journalArticle

Abstract

Varicocele is treated by different surgical techniques, none of which is yet acknowledged as the "gold standard." Some of these techniques, especially microsurgical techniques, are very time consuming and thus expensive, and the treatment of varicocele still causes some complications and recurrences. Marmar and Kim's technique presents some indisputable advantages: it allows the preservation of the arteries and seems to offer the highest percentage of success and lowest number of complications. The authors modified and simplified the microsurgical technique of Marmar and Kim, using a subinguinal approach with intraoperative antegrade sclerotherapy of dilated veins. After the cord has been clamped, 1.5 to 3 mL of 3% aetoxisclerol mixed with 0.5 mL of air is injected. Commonly, minor complications can occur. The most common complication is transient penile lymphangitis, the cause of which is unclear. As the procedure allows selective sparing of the lymphatic vessels, it avoids hydrocele due to the performed procedure.

Original languageEnglish
Pages (from-to)252-257
Number of pages6
JournalSurgical Innovation
Volume19
Issue number3
DOIs
Publication statusPublished - Sep 2012

Keywords

  • surgical technique
  • urology
  • varicocele

ASJC Scopus subject areas

  • Surgery

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