title: Microsurgical treatment of varicocele in adolescents.
abstract: Between March 1990 and November 1992, 22 adolescents with varicocele, 13 unilateral left and 4 bilateral, are presented. They were all treated with microsurgical techniques by shunting the venous drainage by means of a spermatic inferior epigastric end-to-side anastomosis. The results achieved have been optimum with the clinical disappearance of varicose veins in 100% of the cases and the elimination of the spontaneous reflux of the interna spermatic vein in 100% of the patients shown by echodoppler. This technique enables the establishment of an immediate and physiological testicular venous drainage fundamental for testicular growth and development.
authors.affiliation: Section of Pediatric Urology, University General Hospital Gregorio Marañon, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Luque Mialdea
authors.forename: J
authors.initials: J
authors.lastname: Sanabia
authors.forename: R
authors.initials: R
authors.lastname: Martin Crespo
authors.forename: J
authors.initials: J
authors.lastname: Cerda
authors.forename: F
authors.initials: F
authors.lastname: Aguilar
authors.forename: F
authors.initials: F
authors.lastname: Arrojo
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D002648:Child; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D013737:Testis / Q000098:blood supply; D014646:Varicocele / Q000601:surgery*