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*

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*

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

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

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*

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

PURPOSE: After adolescent varicocelectomy, there is a lack of standards for the follow-up and evaluation of the catch-up growth. We investigated the time to achieve catch-up growthaccording to the difference in testicular volume as compared to the contralateral testis. MATERIALS AND METHODS: From 1997 to 2004, 51 patients with at least a 1cc difference in testicular volume, as compared to the contralateral testis, and for whom the follow up was longer than 6 months were the subjects of this study. Testicular volume was measured using a Prader orchidometer and catch-up growth was defined as the equalization of testicular volume to the contralateral testis. The time to catch-up growth was investigated. RESULTS: 47 of 51 patients had a GIII varicocele and 4 had a GII varicocele. The mean difference in testicular volume was 2.9+/-1.8cc. Catch-up growth was noted in 33(64.7%) and the mean time to catch-up growth was 14.7 months. Catch-up growth occurred in 52.2%, 67.8 and 74.3% of the patients at 1, 2 and 3 years, respectively(the Kaplan-Meier). The time to catch-up growth was significantly shorter in those with a testicular volume difference of less than 3cc prior to operation(p=0.02, the log-rank test). There was no significant difference according to the age when surgery was performed(<12 years vs. >or=12 years, p>0.05, the log-rank test). CONCLUSIONS: Catch-up growth following varicocelectomy in adolescents can be expected in about 65% of patients and this occurs within 2 years for most patients. The preoperative testicular volume difference is associated with the speed of the catch-up growth. However, whether recovery of testicular volume means recovery of testicular function needs further study.
Adolescent* ; Follow-Up Studies ; Humans ; Testis ; Varicocele

In order to consider the usefulness of radioisotope in diagnosing varicocele, a study was performed on 124 cases. Among them, 74 cases were diagnosed as varicocele, which included 16 cases of subclinical varicocele. Among 74 varicocele patients, 62 cases ( 83.8%) were diagnosed by varicocele index and 59 cases (79.7% ) were diagnosed by static image. A combination of the above two methods allowed 67 cases (90.5 %) to be diagnosed. 21 patients who had a high ligation of internal spermatic vein showed 11 excellent results, 6 good results and 4 poor results. Out of 10 patients with subclinical varicocele, there were 6 excellent results, 3 good results and 1 poor result and 9 patients showed improvement on postoperative semen analysis. There was no significant statistical difference in frequency of the testicular arterial insufficiency between the small varicocele group and the large varicocele group. Also, through scrotogram, it became known that semen analysis proved little help in aiding the diagnose of subclinical varicocele. In conclusion, 'Scrotogram proved very helpful in diagnosis and judging the results of operations of varicocele including subclinical varicocele.
Diagnosis ; Humans ; Ligation ; Semen Analysis ; Varicocele* ; Veins