[Recurrence of variococeles (author's transl)].
By means of five patients who in the last 3 years had to be reoperated because of recurrence or lack of regression of varicocele, we came upon various causes of the disease and possibilities of therapy. Two possibilities for failure of therapy are shown: 1. Not all branches of vena testicularis have been ligatured. Examinations of 60 corpses showed that in 30% of the cases the vena testicularis-even at its influx into vena renalis-consisted of two branches. 2. In a number of those men with varicocele, the disease is caused not by a retrograde blood-flow into vena spermatica externa. The various causes of failure of therapy require different operative procedures. Therefore, in advance of each reoperation, the conditions drainage should be examined by phlebography.
D006801:Humans; D007084:Iliac Vein; D008297:Male; D012008:Recurrence; D013737:Testis / Q000098:blood supply; D014646:Varicocele / Q000601:surgery*
Das Varikozelenrezidiv.