Intraoperative spermatic venography reconsidered.
We review our most recent experience with varicocelectomy and post-ligation venography in 58 adolescents as followup to our previously reported series. A single injection venogram confirmed the completeness of varicocele ligation in 82% of cases while 2 or more injections were required in the remainder. Venography was not performed in 8 cases because of technical difficulties in 5 or surgeon choice in 3. The recurrence rate was 8.6% and was not statistically significant whether or not venography was performed (p = 0.86). Although intraoperative spermatic venography is technically simple and safe, in our series its efficacy in diminishing the recurrence rate after varicocelectomy was unproved.
Palmer
L S
LS
Division of Pediatric Urology, Westchester County Medical Center, Valhalla, New York.
Cohen
S
S
Reda
E F
EF
Gill
B
B
Franco
I
I
Kogan
S J
SJ
Levitt
S B
SB
D000293:Adolescent; D000328:Adult; D002648:Child; D003097:Collateral Circulation; D003974:Diatrizoate Meglumine; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care; D008026:Ligation; D008297:Male; D010690:Phlebography; D015641:Radiography, Interventional; D012008:Recurrence; D013085:Spermatic Cord / Q000098:blood supply / Q000000981:diagnostic imaging*; D014646:Varicocele / Q000000981:diagnostic imaging* / Q000601:surgery*; D014680:Veins
D003974:Diatrizoate Meglumine