Percutaneous Sclerotherapy of Idiopathic Varicocele in Childhood: A Preliminary Report

Abstract

Of 31 boys 10 to 16 years old referred for treatment of a left grade II or III varicocele 28 underwent percutaneous sclerotherapy. Due to anatomical and technical obstacles sclerotherapy was not possible in 3 boys. At follow-up 1 of 16 boys (6.2 per cent) had a mild recurrence detected by Doppler sonography of the spermatic cord. Percutaneous sclerotherapy had no serious side effects, and proved to be an efficient and convenient treatment of left varicocele in childhood.

Percutaneous embolization of varicocele in children: A Canadian experience

“…This technical success compares favorably with other series. [7][8][9] The average total procedure time was 55 minutes, which is comparable with previous reports. 5 This indicates that it is relatively quick when compared with the time needed in the operating room with general anesthesia.…”

Die antegrade skrotale Sklerosierung der Varicocele testis im Kindes- und Jugendalter

“…Auch bei Kindern und Jugendlichen sind erfolglose Behandlungsversuche nicht ausgeschlossen. Thon et al (23) berichten über Therapieabbrüche in gleicher Häufigkeit (9,7 %) wie im Erwachsenenalter.…”

“…6 min, in komplizierten Fällen 12,5 min (2). Bei Kindern wurden vergleichbare Werte (1 -14 min) angegeben (23).…”

Varicocele in Children and Adolescents: A Challenge for Diagnosis and Treatment Indications

“…Moreover, a lymphatic-sparing varicocele is thought to prevent hydrocele formation [37][38][39][40][41][42]. Angiographic occlusion of the internal spermatic veins is performed by retrograde or antegrade application of a sclerosing agent into the spermatic veins and is considered as a lymphatic as well as internal spermaticartery-sparing repair [43][44][45], but is associated with radiation burden, which is less controllable in the antegrade technique. Reported recurrence rates are usually <10%; however, standardized follow up data are lacking.…”