Lymphatic preservation using methylene blue dye during varicocele surgery: A single-center retrospective study

D’Alessio, Antonio; Piro, E.; Beretta, Fabio; Brugnoni, M.; Marinoni, Federica; Abati, L.

doi:10.1016/j.jpurol.2007.09.005

Cited by 22 publications

(18 citation statements)

References 6 publications

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“…[63] To further facilitate the identification of lymphatics, various authors described techniques of scrotal infusion of blue dyes (patent blue V, isosulfan blue or methylene blue) that could result in a significant reduction of the post-operative hydrocele. [62–67]…”

Section: Management Of Varicocelesmentioning

confidence: 99%

Management options of varicoceles

Chan¹

2011

Indian J Urol

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Varicocele is one of the most common causes of male infertility. Treatment options for varicoceles includes open varicocelectomy performed at various anatomical levels. Laparoscopic varicocelectomy has been established to be a safe and effective treatment for varicoceles. Robotic surgery has been introduced recently as an alternative surgical option for varicocelectomy. Microsurgical varicocelectomy has gained increasing popularity among experts in male reproductive medicine as the treatment of choice for varicocele because of its superior surgical outcomes. There is a growing volume of literature in the recent years on minimal invasive varicocele treatment with percutaneous retrograde and anterograde venous embolization/sclerotherapy. In this review, we will discuss the advantages and limitations associated with each treatment modality for varicoceles. Employment of these advanced techniques of varicocelectomy can provide a safe and effective approach aiming to eliminate varicocele, preserve testicular function and, in a substantial number of men, increase semen quality and the likelihood of pregnancy.

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Section: Management Of Varicocelesmentioning

confidence: 99%

Management options of varicoceles

Chan¹

2011

Indian J Urol

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“…24 Other products have been adopted to perform lymphatic identification such as methylene blue, but some authors reported scrotal skin necrosis using this procedure; for this reason the use of methylene blue for lymphography was completely abandoned. 2,6,24 Other authors reported an LS technique of injecting methylene blue dye into testicular tissue, but the consequences for the gonad were not studied. 25 Other reports have already been published in the international literature as for a LS procedure, but all the series are focused on small numbers of patients with a small or intermediate follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Multiple methods exist for the treatment of varicoceles, including sclerotherapy and open and laparoscopic surgical ligation of the spermatic vessels. [5][6][7] With recent advances in minimally invasive surgery, there have been many reports showed the safety and efficacy of Palomo laparoscopic repair. 1,[8][9][10] Whichever treatment is chosen, postoperative complications are fairly common, such as recurrence, persistence, hydrocele, and testicular atrophy.…”

Section: Introductionmentioning

confidence: 99%

Blue Patent Lymphography Prevents Hydrocele After Laparoscopic Varicocelectomy: 10 Years of Experience

Chiarenza

Giurin²,

Costa³

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…In the last few years, some groups have attempted to improve the secondary hydrocoele formation rate using methods to identify and spare lymphatics. [17][18][19][20][21] Schwentner et al tried injecting isosulphan blue between dartos and tunica vaginalis in a randomised trial of 50 patients. They reported a hydrocoele rate of 0% and a persistence rate of 4%, which resolved spontaneously at 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…The major problem is that 8% of patients may have a blue-stained scrotum for up to 6 months following surgery. [18][19][20][21] Kocvara et al described a laparoscopic Palomo technique with lymphatic preservation. They reported a hydrocoele rate of 2.9% in the lymphatics preserved group compared to 17.9% in the conventional group.…”

Section: Discussionmentioning

confidence: 99%