Is phlebography crucial in Tauber varicocele sclerotherapy?

Abstract

Objectives.

Our aim was to discover whether it is possible to eliminate retrograde phlebography in the treatment of varicocele by using Tauber procedure.

Methods.

We treated 102 consecutive left varicocele patients between November 2003 and May 2007. In 72 patients (Group A) we used the Tauber procedure, without performing preliminary retrograde phlebography, and injecting saline solution instead of contrast medium; in 30 patients (Group B) we performed the standard Tauber procedure.

We followed up with scrotal color Doppler Ultrasonography and spermograms at 6 months.

Results.

The patients who underwent the Tauber procedure without phlebography (Group A) obtained results similar to those treated with phlebography (Group B). With our technique, surgical time and costs are reduced and, most importantly, exposure to radiation is avoided.

Conclusions.

We believe that Tauber procedure for the treatment of varicocele can be performed without retrograde phlebography.

Keywords

Varicocele Phlebography Sclerotherapy Flebografia Scleroterapia

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References

Tauber

. Anterograde scrotal sclerotherapy for the treatment of varicocele: tecnique and late results. J Urol 1994; 151: 386–90.

Mazzoni

, Spagnoli

, Lucchetti

M.C.

Adolescent varicocele: Tauber antegrade sclerotherapy versus Palomo repair.

J Urol 2001; 166: 1462–4.

Tauber

, Johsen

. Antegrade scrotal sclerotherapy for treatement of testicular varicocele. Tecnique and late results. Urologe A 1993; 32: 320–6.

Lenz

, Hof

, Kersting-Sommerhoff

Anatomic variants of the spermatic vein: importance for percutaneous sclerotherapy of idiopatic varicocele.

Radiology 1996; 198: 425–31.

Mottrie

A.M.

, Burger

R.A.

, Voges

G.E.

Antegrade scrotal scleroterhapy of varicocele by the Tauber method.

Aktuelle Urol 2007; 38: 167–73.

Tauber

, Pfeiffer

, Bruns

. Plebography: why it is important to study radiological imaging of spermatic veins. Arch Ital Urol Androl 2003; 75: 62–7.

Kuenkel

MmR

, Korth

. Rationale for antegrade sclerotherapy in varicoceles. Eur Urol 1995; 27: 13–7.

Dubin

, Amelar

R.D.

. Varicocele size and results of varicocelectomy in selected subfertile men with varicocele. Fertil Steril 1970; 21: 606–10.

Tauber

, Pfeiffer

. Antegrade sclerotherapy for varicocele testis possible and avoidable coplications. Urologe A 2003; 42: 1238–43.

10.

Ficarra

, Porcaro

A.B.

, Righetti

Antegrade scrotal sclerotherapy in the treatment of varicocele: a prospective study.

BJU Int 2002; 89: 264–8.

11.

Goll

, Albers

, Schoeniech

Testicular loss due to hemorrhagic infart in Tauber antegrade scrotal varicocele sclerotherapy.

Urologe A 1997; 36: 449–51.

12.

Zucchi

, Mearini

Treatment of varicocele: randomized prospective study on open surgery versus Tauber antegrade sclerotherapy.

J Androl 2005; 26: 328–32.