title: Surgical subinguinal approach to varicocele combined with antegrade intraoperative sclerosis of venous vessels.
abstract: Varicocele is treated by different surgical techniques, none of which is yet acknowledged as the "gold standard." Some of these techniques, especially microsurgical techniques, are very time consuming and thus expensive, and the treatment of varicocele still causes some complications and recurrences. Marmar and Kim's technique presents some indisputable advantages: it allows the preservation of the arteries and seems to offer the highest percentage of success and lowest number of complications. The authors modified and simplified the microsurgical technique of Marmar and Kim, using a subinguinal approach with intraoperative antegrade sclerotherapy of dilated veins. After the cord has been clamped, 1.5 to 3 mL of 3% aetoxisclerol mixed with 0.5 mL of air is injected. Commonly, minor complications can occur. The most common complication is transient penile lymphangitis, the cause of which is unclear. As the procedure allows selective sparing of the lymphatic vessels, it avoids hydrocele due to the performed procedure.
authors.affiliation: UO di Andrologia, AO San Paolo, Milan, Italy.
authors.forename: Giovanni Maria
authors.initials: GM
authors.lastname: Colpi
authors.forename: Luca
authors.initials: L
authors.lastname: Carmignani
authors.forename: Giorgio
authors.initials: G
authors.lastname: Bozzini
authors.forename: Stefano
authors.initials: S
authors.lastname: Picozzi
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D007264:Inguinal Canal / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000627:therapeutic use; D012597:Sclerosing Solutions / Q000627:therapeutic use; D012598:Sclerosis / Q000139:chemically induced; D012611:Scrotum / Q000000981:diagnostic imaging; D013085:Spermatic Cord / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014646:Varicocele / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols