No abstract available.
Varicocele*

No abstract available.
Varicocele*

Varicocele is a common Disease entity in urological field There are considerable number recurrent after either surgery or conservative treatment, also even sterility in bilateral case. The author has experienced 55 cases of varicocele at C.A.F.G.H. in one near period. In 10 mild cases, the only scrotal elevation were applied, and in the other severe 45 cases were undergone surgery. 5 cases in each were revealed recurrent respectively.
Infertility ; Varicocele*

No abstract available.
Diagnosis* ; Ultrasonography* ; Varicocele*

Intraoperative internal spermatic vein phlebography was performed in 12 primary and 3 recurrent cases of varicocele. The following results were obtained. 1. Marked dilation of the left internal spermatic vein was observed in 13 cases (87%), and retrograde flow was seen in 7 cases (47%). 2. Double or triple left internal spermatic vein was seen in 8 cases (53%). 3. Cross collateral venous circulation was noted in 6 cases (40%). 4. Intraoperative internal spermatic vein phlebography enabled to us understand the venous anatomy and the etiology of primary and recurrent varicoceles, and was an aid for the surgical removal of varicocele.
Phlebography* ; Varicocele* ; Veins*

PURPOSE: The purpose of this study is to analyze the effect of surgical treatment for painful varicocele. MATERIALS AND METHODS: We reviewed the records of 103 patients who had undergone varicocele ligation due to serious pain from January 1996 to December 1999 and followed up for one year. The average patient age was 21 (19-41) years. We analyzed the degree of varicocele, duration and aspects of pain, effects of surgical treatment and results according to surgical techniques. We classified the results into three aspects based on the relief of pain (complete, partial and no relief) and subjective symptoms. RESULTS: As for the degree of varicocele, 40 cases placed in grade II, and 63 in grade III. The nature of the pain was a sharp ache (33 cases), dragging pain (48 cases) and dull pain (22 cases). There was no statistical significance between the grade of varicocele and the degree of pain (p>0.05). Of the 103 patients, 81 (78.6%) experienced complete relief of pain and 10 (9.7%) had partial relief. Only 12 patients (11.6%) had persistent or worsened symptoms. The results for the postoperative de gree of pain relief according to duration of pain did not show any statistical significance (p>0.05), but those according to preoperative quality of pain showed statistical signi ficance (p<0.05). CONCLUSIONS: This study supports the conclusion that varicocele ligation is an effective treatment for painful varicocele.
Humans ; Ligation* ; Varicocele*

No abstract available.
Hydrocortisone* ; Spermatogenesis* ; Varicocele* ; Veins*

PURPOSE: To compare pre-and postoperative scrotal pain in patients with varicocele who underwent varicocelectomy with different approaches and to identify the factors that affect the outcomes. MATERIALS AND METHODS: A total of 48 patients with left-sided varicocele who had left scrotal pain was included and followed up for more than 3 months. Twenty patients underwent varicocele ligation using modified Palomo, fifteen with laparoscopic approach and thirteen with microscopic subinguinal varicocelectomy respectively. Visual pain scale was used at pre-operation and 3 months later postoperatively. We compared age, grade, a character of pain, operation time, a number of pain killer and pain score. RESULTS: Mean age of patients was 28.9 years (range 15~58 years). 45 patients described their pain as dull ache and 3 as a sharp sensation. There was complete resolution of pain in 35 patients (72.9%), while 7 (14.5%) had partial resolution. 6 (12.5%) had persistent symptoms and varicocele recurred in 3 (6.2%). There was no significant difference in pain resolution according to surgical approaches. Microsurgical approach had a prolonged operation time, but recurrence was not occurred. 3 patients that had a sharp scrotal pain were included in partial resolution or persistent pain. CONCLUSIONS: Surgical approaches were effective in the treatment of painful varicocele in selected patients and there was no significant difference in pain resolution according to surgical approaches. The sharp scrotal pain was related to the outcome of treatment.
Humans ; Ligation ; Recurrence ; Sensation ; Varicocele

In 41 cases of patients with varicocele, a new operative method which involves a higher incision level(12th rib) than any other method used previously was performed with intra-operative venography. The following results were obtained. 1. This study has allowed us to achieve a low recurrent rate(3%). 2. On venographic findings, 13 cases(32%) showed only one internal spermatic vein without any other central collateral vein and 28 cases(68%) revealed more than two central collateral veins. The central collateral veins were found at the level of inguinal area in all 28 cases, anterior superior iliac spine in 10 cases, and at the 12th rib level in 5 cases. 3. 3 Recurrent cases after previous high ligation originated from missed central collateral veins above the level of anterior superior iliac spine. Based on the above results. We concluded that the most common etiology of recurrent varicocele seems to be residual central collateral veins and it seems to be that higher ligation sites offer better operative results. A new operative approach in this study which involved a higher level of ligation than any other approach offered high success rate. and the intra-operative venography prevented us from missing all ligation of central collateral veins.
Humans ; Ligation* ; Phlebography* ; Ribs ; Spine ; Varicocele* ; Veins

The phlebographic study was made on ten patients with varicocele in this department during two years period from May, 1978 to April, 1980. 1. The number of internal spermatic vein was between 1 and 4, showing the highest incidence in 2 vessels (5 cases). 2. The diameter of internal spermatic vein was between 2 and 6 mm, showing the highest incidence in 3 mm (4 cases) and long standing large varicocele developed collateral venous channel (2 cases). 3. Left renal vein-internal spermatic confluence was joined right angle in all cases and internal spermatic vein was demonstrated convoluted, atonic, wide structure without constriction, indicating valvular insufficiency in 6 cases.
Constriction ; Humans ; Incidence ; Phlebography* ; Varicocele* ; Veins