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. 2001 Mar;165(3):937-40.

Recurrence of varicocele after high retroperitoneal repair: implications of intraoperative venography

J Niedzielski  1 , D A Paduch
Affiliations
  • PMID: 11176519

Recurrence of varicocele after high retroperitoneal repair: implications of intraoperative venography

J Niedzielski et al. J Urol. 2001 Mar.

Abstract

Purpose: We determined whether intraoperative venography results in a decreased recurrence rate after varicocele repair in adolescence.

Materials and methods: We evaluated 177 male adolescents 14 to 19 years old who underwent varicocele repair via the high retroperitoneal approach with artery sparing and intraoperative venography.

Results: Overall the recurrence rate was 2.8% (5 of 177 cases) in the venography group and 11% in historical controls without venography. We identified left-to-right cross communicating vessels in 3 patients with recurrence. Intraoperatively venography revealed nonligated vessels in 21 patients (12%), resulting in revision and repair during the same procedure.

Conclusions: Intraoperative venography seems to decrease the rate of recurrence. Left-to-right cross communicating vessels may be present in some adolescents with recurrence after varicocelectomy.

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