Results and complications of adolescent varicocele repair with intraoperative sodium morrhuate sclerotherapy.
Publication/Presentation Date
10-1-2008
Abstract
PURPOSE: Adolescent varicocele has been shown to affect spermatogenesis and correlate with decreased ipsilateral testicular volume, prompting treatment in a select population. We report our experience with 3 varicocele ligation procedures in concordance with sclerotherapy in adolescent patients.
MATERIALS AND METHODS: A total of 120 males underwent varicocele surgery at our institutions during an 8-year period. Sodium morrhuate sclerotherapy was used in 91 patients and 73 adolescent males fulfilled the 6-month followup criteria. The 73 males who were 9 to 17 years old underwent a total of 75 (bilateral in 2) procedures for varicocele treatment. Of the patients 23 underwent subinguinal microscopic varicocelectomy (group 1), 9 underwent loupe assisted subinguinal varicocelectomy (group 2) and 41 underwent loupe assisted inguinal varicocelectomy (group 3). All patients received intraoperative sclerotherapy using sodium morrhuate injection. Outcome measures included recurrence, complications and catch-up growth at a minimum of 6 months of followup.
RESULTS: The varicocele recurrence rate was 2.7% in patients receiving combined surgical ligation and sclerotherapy ablation. Group 1 had 2 recurrent varicoceles and no hydrocele formation, group 2 had no varicocele recurrence and no hydrocele formation, and group 3 had no varicocele recurrence and 2 postoperative hydroceles. Catch-up growth in the ipsilateral testis was seen in 85% of patients. No atrophy or testicular loss was noted.
CONCLUSIONS: This preliminary experience with combined surgical ligation and sclerotherapy ablation in the adolescent population resulted in low varicocele recurrence with minimal morbidity. Outcomes of loupe assisted varicocelectomy appear to be improved compared to those in previous studies, alluding to an advantage in the addition of sclerotherapy.
Volume
180
Issue
4 Suppl
First Page
1837
Last Page
1841
ISSN
1527-3792
Published In/Presented At
Lebed, B., Packer, M., Husmann, D., & Zaontz, M. (2008). Results and complications of adolescent varicocele repair with intraoperative sodium morrhuate sclerotherapy. The Journal of urology, 180(4 Suppl), 1837–1841. https://doi.org/10.1016/j.juro.2008.04.072
Disciplines
Medicine and Health Sciences
PubMedID
18721963
Department(s)
Department of Surgery
Document Type
Article