Surgical Atlas
Varicocele: antegrade scrotal sclerotherapy

Large bowel infarct following antegrade scrotal sclerotherapy for varicocele: A case report

“…1). 2 The injection of 1 mL of air followed by 3 mL of 3% ethoxysclerol (air-block technique) during the Valsalva manoeuvre caused an increase in intravascular pressure due to the presence of air and to the Valsalva manoeuvre. These injections may have opened the venous passages between the spermatic and the inferior mesenteric veins that were not detectable by the phlebography.…”

“…In the end atoxysclerol mixed with air is injected. [2][3][4][5] This technique is well-established to treat varicocele. It is easier, faster and less invasive than open surgical and laparoscopic treatments.…”

“…Successful treatment of varicocele improves semen quality in 40% to 60% of patients and recovers fertility in 10% to 40%. 1 Among all the available procedures, the antegrade scrotal sclerotherapy (ASS) is a combined radiological-surgical approach first introduced by Tauber in 1988 2 and is usually performed under local anesthesia. The procedure starts with a short longitudinal scrotal incision at the base of the scrotum, isolation of the funiculum and identification of the most enlarged vein.…”

Spinal Cord Injury Following Antegrade Scrotal Sclerotherapy for Varcicocele: A Case Report

“…Many approaches have been described in the varicocele management in order to correct the retrograde blood flow and improve fertility [1, 2]. In this context, antegrade scrotal sclerotherapy (ASS) was first introduced by Tauber and Pfeiffer [3] in 1988 as an alternative treatment for varicocele. Basically, ASS is performed under local anesthesia through a scrotal incision just below the external inguinal ring, allowing isolation of the spermatic cord and exposure of the pampiniform venous plexus.…”

“…This additional procedure is strongly recommended because it enables to highlight variant tributaries of the spermatic vein (Fig. 1) and to avoid inappropriate injection of sclerotic agent within spermatic artery [3]. After ensuring that ASS is anatomically suitable, polidocanol with air (i.e., air-block technique) is injected antegradely during a Valsalva maneuver.…”