Erfahrungen in der Therapie der Varikozele des Kindesalters

Abstract

48 children who underwent high ligature of the internal spermatic vein for varicocele were re-examined. In one patient (2,1%) a hydrocele appeared postoperatively. In 30 boys (62,5%) the varicocele disappeared completely following surgery, in 18 patients (37,5%) the varicocele persisted which was in 9 boys only palpable and in another 9 boys clearly visible. High spermatic vein ligature according to Bernardi turned out to be a method providing good postoperative results and with few complications in childhood. In the case of persisting varicocele collateral veins should be considered and ligated in a second operation.

Surgical Correction of Abdominal Testes after Fowler-Stephens Using the Neodymium: YAG Laser for Preliminary Vessel Dissection

“…At the testes they are provided by numerous anastomoses between branches of the external spermatic artery, the deferential artery and the intrinsic vessels of the gubernaculum. They usually all maintain a closely interconnected common network (1,3,4,5,6).…”