Hydrocele following internal spermatic vein ligation: a retrospective study and review of the literature.
We reviewed 82 consecutive infertile men with varicoceles and 1 teenage boy with a painful varicocele, all of whom underwent a total of 111 internal spermatic vein ligations (55 unilateral and 28 bilateral) by the suprainguinal approach (Palomo method). Of these patients 3 who underwent unilateral and 3 bilateral internal spermatic vein ligations subsequently suffered a total of 8 hydroceles after an average postoperative interval of 18.2 months. The protein concentration of the hydrocele fluid in the 2 most recent patients was consistent with lymphatic obstruction.
D000293:Adolescent; D000328:Adult; D006801:Humans; D008026:Ligation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D006848:Testicular Hydrocele / Q000209:etiology*; D013737:Testis / Q000098:blood supply*; D013997:Time Factors; D014646:Varicocele / Q000601:surgery*; D014680:Veins / Q000601:surgery