Adolescent Varicocele: Tauber Antegrade Sclerotherapy Versus Palomo Repair

Mazzoni, G; Spagnoli, A; Lucchetti, Maria Chiara; Villa, MP; Capitanucci, Maria Luisa; Ferro, Fabio

doi:10.1016/s0022-5347(05)65810-7

Cited by 26 publications

(25 citation statements)

References 22 publications

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“…The retrograde technique may be associated with migration of embolization coils, thrombophlebitis, arterial puncture, hydroceles and a high unperformable rate of up to 30% with recurrence in 3-11% [13][14][15][16]. The antegrade technique can also be performed under local anaesthesia with a much shorter operative time, lower unperformable rate and low incidence of recurrence or persistence [17][18][19][20]. The complication rate is only 3-8%, but testicular artery injury may occur in up to 1% of cases [20].…”

Section: Discussionmentioning

confidence: 99%

“…Both techniques involve radiographic exposure which may be deleterious to an already subfertile patient. In conclusion, since these two low-cost techniques can be performed under local anaesthesia in a day-care setting, they are probably more suitable for recurrent varicoceles since this would avoid difficult exposure in a previously operated field and allow precise delineation of the vascular channels prior to their occlusion [17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Subinguinal Microsurgical Varicocelectomy: Evaluation of the Results

Kumar

Gupta²

2003

Urol Int

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Introduction: Varicoceles have been established to be the commonest correctable cause of male infertility. Among the various methods available, microsurgical varicocelectomy has one of the lowest complication rates with low failure. Patients and Methods: Over a 4-year period, 100 patients underwent microsurgical varicocelectomy at our center. One hundred and forty-four surgeries were performed on 90 of these patients through a subinguinal approach and these form the study group. Only clinically diagnosed varicoceles were operated. Pre-operative semen values were compared with the post-operative values and statistical analysis performed using a non-parametric test. All 90 patients provided at least 1 post-operative semen report 3 months after surgery while 50 are on complete follow-up. Results: Sperm count improved in 71% patients, normal motility in 60% and normal morphology in 49%. Seventeen of the 50 patients on full follow-up (34%) achieved pregnancy, with 16 of these being spontaneous. All patients achieving pregnancy showed improvement in sperm count, 13 improved in motility and 12 in morphology. All improvements were statistically significant. There were 21 (14.6%) minor complications with no testicular atrophy and 1 recurrence. Conclusion: Microsurgical varicocelectomy is a safe and effective option for the managment of varicocele-induced male infertility. It leads to improvement in all semen parameters and increases the possibility of spontaneous pregnancies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Subinguinal Microsurgical Varicocelectomy: Evaluation of the Results

Kumar

Gupta²

2003

Urol Int

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“…The failure rate can be as high as 20% in some series. Mazzoni et al [7] reported the best results in adolescents, which were a failure rate of 4% and no hydroceles. The high failure rate associated with this technique does not make up for the cost savings that the Europeans commonly tout in there reports because they rarely include the cost of the retreatments in their calculations.…”

Section: Introductionmentioning

confidence: 98%

“…Sclerotherapy has become a popular option in Europe, but has gained few advocates in the United States [5][6][7]. The failure rate can be as high as 20% in some series.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic varicocelectomy in the adolescent male

Franco

2004

Curr Urol Rep

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Laparoscopic varicocelectomy was introduced in the early 1990s as an alternative to the Palomo varicocelectomy. Since its introduction, the procedure has gained favor within the pediatric urology community. Laparoscopic varicocelectomy has been performed using the intraperitoneal, preperitoneal, and lumbotomy approaches with almost the same results as those obtained with the Palomo procedure. The complication rates are relatively low for this procedure except for the hydrocele rate, which has been similar to that encountered with the open Palomo approach. In this article, the results obtained with this procedure and the technique are explored. As more pediatric urologists become adept with laparoscopic techniques, we will continue to see an increase in the number of cases performed using this technique.

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“…Until now, only 3 groups have reported their experience in this particular category of patients. [9][10][11] The antegrade scrotal approach is very simple and rapid. In all series, the mean operating time was shorter than 30 minutes.…”

Section: Discussionmentioning

confidence: 99%