Intraoperative Spermatic Venography During Varicocele Surgery in Adolescents

Hart, Robert R.; Rushton, H. Gil; Belman, A. Barry

doi:10.1016/s0022-5347(17)36953-7

Cited by 27 publications

(8 citation statements)

References 13 publications

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“…Hart recommends routine use of intraoperative venography because 16% of their 62 patients had missed venous vessels after initial venous ligation. 142 Similar conclusions, based on a decreased persistence rate, were also made by Levitt, Zaontz and Gill.…”

Section: Failure Ratesupporting

confidence: 71%

Diagnosis, Evaluation and Treatment of Adolescent Varicocele

Paduch

Skoog

2004

The Scientific World JOURNAL

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Section: Failure Ratesupporting

confidence: 71%

Diagnosis, Evaluation and Treatment of Adolescent Varicocele

Paduch

Skoog

2004

The Scientific World JOURNAL

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“…Venography, introduced by Ahlberg in 1966, represents a historical gold standard in the diagnosis of varicocele ( 51 ) . Currently, it is no longer applied for purely diagnostic purposes, but used for intraoperative assessment (ascending venography) or as an introduction to intravascular treatment (ascending or descending venography) to evaluate the anatomy of collateral circulation and developmental variations ( 9 , 10 ) .…”

Section: Other Imaging Techniquesmentioning

confidence: 99%

“…wykazali brak zastawek wewnątrz lewej żyły jądrowej na poziomie miednicy i odcinka lędźwiowego odpowiednio u 33% i 37% chorych (8) . U chłopców z żylakami powrózka nasiennego znacznie częściej niż u dorosłych obserwuje się odmiany rozwojowe żył jądrowych (9,10) . Stosunkowo rzadką przyczyną żylaków powrózka jest ucisk lewej żyły nerkowej lub jądrowej, zarówno w tzw.…”

Section: Wprowadzenieunclassified

“…Both, the cross-sectional area at rest and its percentage increase during the Valsalva maneuver was statistically higher on the side of varicocele compared to the healthy site (80-100 mm 2 vs. 100-200 mm 2 and 40-80% vs. 100-200%, respectively) (52) . However, this subject testem czysto diagnostycznym i stosowana jest jako badanie śródoperacyjne (flebografia wstępująca) albo wstęp do leczenia wewnątrznaczyniowego (flebografia zstępująca lub wstępująca) dla oceny anatomii krążenia obocznego i odmian rozwojowych (9,10) .…”

Section: Inne Techniki Obrazowaniaunclassified

“…showed the absence of valves in the left testicular vein at the pelvic and lumbar level in 33% and 37% of patients, respectively ( 8 ) . Testicular venous developmental variants are significantly more commonly observed in boys with varicocele compared to adult men ( 9 , 10 ) . Compression of the left renal or testicular vein, either as a result of the so-called nutcracker mechanism or due to renal or retroperi-toneal tumors, is a relatively rare cause of varicocele ( 6 , 11 ) .…”

Section: Introductionmentioning

confidence: 99%

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Wartość ultrasonografii w diagnostyce żylaków powrózka nasiennego

et al. 2016

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A varicocele is described as pathologically enlarged, tortuous veins of the pampiniform plexus, leading to an increased testicular temperature and adrenal metabolite reflux into the testes. Varicocele can impair spermatogenesis and is considered to be the most common cause of male infertility. Patients may palpate a thickening in the scrotum or complain of dull scrotal or inguinal pain, which increases when standing or during erection. In the case of a sudden onset of varicocele in elderly men, it is necessary to exclude renal tumor and extend diagnostic ultrasound with the assessment of the abdominal cavity. The diagnosis of varicocele is based on medical history and physical examination, which involves palpation and observation of the scrotum at rest and during the Valsalva maneuver. Ultrasound is the imaging method of choice. The width and the number of vessels in the pampiniform plexus as well as the evaluation and measurement of regurgitation during the Valsalva maneuver are typical parameters analyzed during ultrasound assessment. However, diagnostic ultrasound is still a controversial method due to numerous and often divergent classification systems for varicocele assessment as well as its poor correlation with clinical manifestations. As a result of introduction of clear ultrasound criteria as well as the development of elastography and nuclear magnetic resonance, diagnostic imaging can play an important role in assessing the risk of damage to the testicular parenchyma, qualifying patients for surgical treatment and predicting the effects of therapy.

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Varicocele and its Treatment,

Hutson¹

1892

JAMA

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also inadequate. Moreover, the quotations and other sentences are not selected with reference to their ele¬ gance of expression and beauty of sentiment, which render them suitable for memorizing ; nor do they seem to be selected with special reference to the use¬ ful knowledge they convey.The vocabulary should be sufficiently extensive to present not only all words used in our general litera¬ ture, but also in the sciences. The following exam¬ ples will illustrate my meaning :

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Intraoperative Spermatic Venography During Varicocele Surgery in Adolescents

Cited by 27 publications

References 13 publications

Diagnosis, Evaluation and Treatment of Adolescent Varicocele

Diagnosis, Evaluation and Treatment of Adolescent Varicocele

Wartość ultrasonografii w diagnostyce żylaków powrózka nasiennego

Varicocele and its Treatment,

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