Superficial dorsal penile vein thrombosis: a little-known complication of subinguinal varicocelectomy.
OBJECTIVE
To describe the symptomatology, diagnosis and treatment of superficial thrombosis of the dorsal penile vein - the most common complication of subinguinal varicocelectomy - and analyse the possible mechanisms involved in the development of the condition.


METHODS
The clinical records of 326 patients who underwent varicocele repair during the last 10 years was reviewed. The technique used was subinguinal varicocelectomy with arterial preservation. A mini-Doppler probe was used during surgery for artery identification. We report on the postoperative complications of varicocelectomy, with special attention to superficial dorsal penile vein thrombosis, and provide a detailed description of the anatomy of the superficial venous system of the penis.


RESULTS
Complications usually associated with varicocele surgery occurred in less than 1% of patients. However, the most common complication in our series was superficial dorsal penile vein thrombosis, which occurred in 2.1% of patients. The use of the mini-Doppler probe allowed us to identify and preserve the arteries in all 326 patients.


CONCLUSIONS
Subinguinal varicocelectomy with intra-operative use of a mini-Doppler probe is a rapid and safe technique. The outcomes and complications are similar to those reported for subinguinal microscopic varicocelectomy. Superficial dorsal penile vein thrombosis is a benign self-limited condition whose association with subinguinal varicocelectomy has not been previously reported.
Arango
Octavio
O
Department of Urology, Hospital del Mar, Barcelona, Spain. Oarango@imas.imim.es
Lorente
José A
JA
Nohales
Gloria
G
Rijo
Enrique
E
Bielsa
Oscar
O
D015331:Cohort Studies; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000209:etiology*; D010413:Penis / Q000098:blood supply*; D012189:Retrospective Studies; D018615:Ultrasonography, Doppler, Color; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*; D014646:Varicocele / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000209:etiology*