title: [Percutaneous puncture catheter-directed foam sclerotherapy of ovarian varicocele: report of preliminary results].
abstract: OBJECTIVE
  Foam sclerotherapy of ovarian varicocele is a relatively new and promising treatment option for patients with axial reflux. But its usefulness may be limited by low primary occlusion rates. Here a standard technique for catheter-directed foam sclerotherapy was presented to facilitate a precise delivery of foam to its intended site of action so as to potentially improve the occlusion rates.
  
  
  METHODS
  A selective series of 13 females with ovarian varicocele were treated with foam sclerotherapy through a standard technique for foam delivery from 2008 to 2009. With a mean age 39.4 years, the patients were treated with 1% polidocanol foam through a catheter inserted percutaneously over a guidewire into the trunk of vena ovarian. All successfully treated patients were examined by colour duplex at 1 to 12 months post-procedure.
  
  
  RESULTS
  Thirteen patients with an insufficiency reflux of vena ovarian were treated with catheter-directed foam sclerotherapy. Primary technical success was achieved in all patients. A dose of polidocanol 1.0% at 4 - 9 ml was administered. The mean follow-up period was 5.3 months. Pelvic cavity flatulency was totally released in 12 patients and 1 partially released. Two of 5 patients with algopareunia recovered and 3 with perineal region varicosis became relieved. On the follow-up ultrasonic examination, all trunks of vena ovarian became occluded.
  
  
  CONCLUSIONS
  This type of foam sclerotherapy is feasible with a high rate of primary occlusion.
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing, China. lxpls@263.net
authors.forename: Xiao-ping
authors.initials: XP
authors.lastname: Liu
authors.forename: Xin
authors.initials: X
authors.lastname: DU
authors.forename: Wei
authors.initials: W
authors.lastname: Guo
authors.forename: Xin
authors.initials: X
authors.lastname: Jia
authors.forename: Min-hong
authors.initials: MH
authors.lastname: Zhang
authors.forename: Jiang
authors.initials: J
authors.lastname: Xiong
authors.forename: Hong-peng
authors.initials: HP
authors.lastname: Zhang
authors.forename: Tai
authors.initials: T
authors.lastname: Yin
authors.forename: Xiao-hui
authors.initials: XH
authors.lastname: Ma
mesh_terms: D000328:Adult; D002404:Catheterization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply*; D011677:Punctures; D015911:Sclerotherapy / Q000379:methods*; D016896:Treatment Outcome; D014648:Varicose Veins / Q000628:therapy*