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

Several different techniques have been utilized for the correction of a varicocele. Urologists have operated by high ligation of the internal spermatic veins via an inguinal or retroperitoneal approach. Radiologists have embolized or sclerosed these veins by percutaneous venography. Recently, microsurgeons have diverted the internal spermatic veins. Although classical procedures for the varicocele have been used successfully to eliminate retrograde blood flow, improved techniques seen desirable because a growing list of unwanted effects have been cited in associations with these procedures. In this report, we describe a new technique(Goldstein microsurgical technique) for the management of varicoceles which combines microdissection of the cord, ligation of all the tributaries of internal spermatic vein. complete control of collateral and small cross collateral veins except the vasal vein via a low inguinal approach.
Ligation ; Microdissection* ; Phlebography ; Spermatic Cord* ; Varicocele* ; Veins

PURPOSE: The best option for varicocele treatment is controversial. We evaluate our experience using laparoscopic varicocelectomy & inguinal varicocelectomy, and then compared the two methods. We started this study to find the best treatment for varicocele patients. MATERIALS AND METHODS: Between July 2002 and July 2008, 168 cases (Group I) were treated with laparoscopic varicocelectomy and 157 cases (Group II) were treated with the inguinal approach. We assessed the two methods according to operative time, hospital stay, recurrence rate, complication rate, and cost effectiveness. RESULTS: The mean operative time was 30.2+/-10.9 min for laparoscopic varicocelectomy and 62.6+/-13.3 min for inguinal varicocelectomy (p<0.05). The recurrence rate was 2% for laparoscopic varicocelectomy and 8% for inguinal varicocelectomy (p>0.05). The complication rate was 10.7% for laparoscopic varicocelectomy and 12.7% for inguinal varicocelectomy (p>0.05). The cost of laparoscopic varicocelectomy was 401,870 won, but inguinal varicocelectomy was 256,480 won (p<0.05). CONCLUSIONS: The laparoscopic varicocelectomy required a shorter operative time but no superior outcomes compared to inguinal varicocelectomy. The laparoscopic approach cannot be replaced with the routine open approach but it is thought to be worth consideration in selective cases.
Laparoscopy ; Length of Stay ; Operative Time ; Recurrence ; Varicocele