title: [Choice of surgery in the treatment of recurrent varicocele].
abstract: The article presents the results of examination and surgical treatment of 48 patients with varicocele recurrence after Ivanisevich operations. Ultrasound dopplerography revealed principal causes of the recurrences: unperformed ligation of vein-satellites, undetected renospermatic reflux with hypertension in the renal vein, undetected ileospermatic or mixed reflux. Depending on the detected hemodynamic disorders, we made microsurgical ligation of veins-satellites, created proximal vein-veinous testiculosafic or distal testiculosafic anastomoses with good clinical results and correction of pathospermia. Ultrasound dopplerographic control of anastomoses after 1 year of their creation showed satisfactory function of anastomoses in 80.1% cases. Thus, choice of surgical method in varicocele recurrence must be based on assessment of hemodynamic disorders in the territory of genital veins.
authors.forename: N I
authors.initials: NI
authors.lastname: Tarasov
authors.forename: V F
authors.initials: VF
authors.lastname: Bavil'skiĭ
authors.forename: A V
authors.initials: AV
authors.lastname: Ivanov
authors.forename: A V
authors.initials: AV
authors.lastname: Suvorov
authors.forename: A S
authors.initials: AS
authors.lastname: Matygin
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D008866:Microsurgery / Q000379:methods; D012008:Recurrence; D013085:Spermatic Cord / Q000000981:diagnostic imaging / Q000601:surgery; D018608:Ultrasonography, Doppler / Q000379:methods; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014646:Varicocele / Q000000981:diagnostic imaging / Q000601:surgery*