Microsurgical bypass for varicocele with nutcracker syndrome.
- Author:
Guo-Xiao CHEN
1
;
Xiang-Sheng ZHANG
1
;
Xiao-Bo ZHU
1
;
Xin CHEN
1
Author Information
1. Department of Urology, Henan Provincial People's Hospital / People's Hospital of Zhengzhou University, Zhengzhou, Henan 450003, China.
- Publication Type:Journal Article
- Keywords:
internal spermatic vein-inferior epigastric vein bypass surgery;
nutcracker syndrome;
varicocele
- MeSH:
Anastomosis, Surgical;
methods;
Feasibility Studies;
Hematuria;
surgery;
Humans;
Male;
Microsurgery;
methods;
Proteinuria;
surgery;
Renal Nutcracker Syndrome;
complications;
Renal Veins;
Retrospective Studies;
Ultrasonography;
Ultrasonography, Doppler, Color;
Varicocele;
complications;
diagnostic imaging;
surgery;
Vascular Surgical Procedures;
methods;
Veins;
surgery
- From:
National Journal of Andrology
2017;23(9):798-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect and feasibility of internal spermatic vein-inferior epigastric vein (ISV-IEV) bypass surgery in the treatment of varicocele complicated by left renal vein nutcracker syndrome (NCS).
METHODS:We retrospectively analyzed the clinical data about 30 cases of varicocele with left renal vein NCS treated by ISV-IEV bypass surgery in our hospital from June 2014 to February 2017. We reviewed the follow-up data and results of ultrasonography, routine urianlysis and semen routine examination.
RESULTS:All the operations were successfully accomplished and postoperative color Doppler ultrasonography showed that varicocele was cured in all the cases. At 6 months after surgery, sperm concentration and the percentage of grade a+b sperm were significantly improved (［34.47 ± 8.60］ ×10⁶/ml and ［63.54% ± 9.58］ %) as compared with the baseline (［19.90 ± 8.97］ ×10⁶/ml and ［37.93 ± 8.73］ %) (P <0.05). Hematuria was cured in 23 and alleviated in 1 of the 24 cases. Proteinuria disappeared in all the 14 cases, with neither scrotal pain symptoms nor obvious complications.
CONCLUSIONS:ISV-IEV bypass surgery, with its advantages of safety, effectiveness, minimal invasiveness, and simple operation, deserves wide clinical application in the treatment of varicocele with left renal vein NCS.
