Percutaneous Embolization of the Internal Spermatic Vein for the Treatment of Childhood and Adolescent Varicocele.
- Author:
Tae Gyun KWON
1
;
Hyeok Jun SEO
;
Hyun Cheul NAM
;
Sung Kwang CHUNG
;
Sae Kook CHANG
Author Information
1. Kyungpook National University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
percutaneous embolization;
childhood and adolescent varicocele
- MeSH:
Adolescent*;
Adult;
Humans;
Ligation;
Varicocele*;
Veins*
- From:Korean Journal of Urology
1997;38(6):653-657
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Proper management of childhood and adolescent varicocele remains still controversial. In general, all methods for varicocele ablation for adults are available and include open surgical ligation, laparoscopic ligation, or percutaneous ablation. We evaluated the usefulness of percutaneous embolization of internal spermatic vein in boys with varicocele. Between February 1988 to May 1996, 48 boys of 53 varicoceles underwent percut aneous embolization. In 49 cases, the embolization were technically possible and in the other 4 cases, we could not access the internal spermatic vein because of vasospasm and venous abnormality. The results were successful in 40 cases (81.6%) and failed in 9 cases (18.4%), including 4 (8.2%) of persistent and 5 (10.2%) of recurred cases. There were no major complications except 3 cases of extravasation of contrast material. Percutaneous embolization may be recommended as a primary treatment for childhood and adolescent varicocele.
