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Review
. 2004 Nov;57(9):941-50.

[Varicocele's radiological endovascular occlusion]

[Article in Spanish]
Roberto Villar Esnal  1 , Angel Sánchez Guerrero, Manuel Pamplona Casamayor, Rafael Fernández Sáez, Guillermo Parga López, Enrique García-Hidalgo Castilla
Affiliations
  • PMID: 15624393
Review

[Varicocele's radiological endovascular occlusion]

[Article in Spanish]
Roberto Villar Esnal et al. Arch Esp Urol. 2004 Nov.

Abstract

Objectives: To report our experience on percutaneous treatment of male varicocele over the last 15 years.

Methods: 690 patients with left varicocele underwent percutaneous occlusion of the spermatic vein. Embolization was undertaken using various types of materials; the most frequently used association was coils and sclerosing substances. Thorough clinical control was carried out, including ultrasound and spermiogram when indicated.

Results: Initial success rate was 97.8% and complication rate was 6.2%. Varicocele persistence or relapse was found in 13.2% of the cases after embolization. In the group of patients with sperm tests on follow-up, sperm counts became normal in 46% of the patients, and "a + b" mobility in 35%. Post-treatment pregnancy rate was 20%.

Conclusions: Percutaneous occlusion of the spermatic vein is a very extensively developed technique. Its efficacy and nearly null rate of severe complications, associated with its good results, make it the technique of choice in the treatment of male varicocele.

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