Radiological treatment of male varicocele: technical, clinical, seminal and dosimetric aspects

Gazzera, Carlo; Rampado, Osvaldo; Sávio, Luís Felipe; Bisceglie, C. Di; Manieri, C.; Gandini, Giovanni

doi:10.1007/s11547-006-0041-4

Cited by 41 publications

(30 citation statements)

References 18 publications

(33 reference statements)

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“…The goal of treatment of varicocele is interruption of retrograde flow into the pampiniform plexus from the gonadal and pre-existing collateral veins. Reported methods for percutaneous endovascular treatment include occlusion of the gonadal vein with coils [13] , starting from just above the inguinal ligament, extending to the confluence of the gonadal vein with the renal vein, accompanied by treatment of collaterals with any number of liquid agents, including alcohol, polidocanol [2,5,14] , sodium tetradecyl sulfate [8,15] , and NBCA glue [16] . Treatment of recurrent varicocele begins with spermatic vein venography through catheterization of gonadal vein remnants or retroperitoneal collaterals from either the renal veins or retroperitoneal branches.…”

Section: Discussionmentioning

confidence: 99%

Antegrade pampiniform plexus venography in recurrent varicocele: Case report and anatomy review

Gendel

Haddadin²,

Nosher³

2011

WJR

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Varicoceles are often treated with percutaneous embolization, using fibered coils and sclerosing agents, with the latter targeted at occlusion of pre-existing collateral veins. While various methods of surgical and embolization treatment are available, varicoceles may still recur from venous collateralization. We present a case, where following demonstration of complete occlusion of the right and left gonadal veins, direct puncture of the pampiniform venous plexus under ultrasound guidance revealed recurrent varicoceles supplied by anastomoses from the ipsilateral saphenous and femoral veins to the pampiniform plexus. In doing so, we describe a technique of percutaneous pampiniform venography in a case where the pertinent anatomy was not easily demonstrated by other methods.

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Section: Discussionmentioning

confidence: 99%

Antegrade pampiniform plexus venography in recurrent varicocele: Case report and anatomy review

Gendel

Haddadin²,

Nosher³

2011

WJR

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“…As depicted by Gazzera et al this treatment was not possible in 7.6% of their patients because of difficulty in catheterizing the spermatic vein secondary to anatomic alterations, vasospasm and intimal dissection [20]. In our population, two of the boys had similar anatomic issues, precluding coil placement within their inferior spermatic veins.…”

Section: Discussionmentioning

confidence: 72%

Initial experience with percutaneous selective embolization: A truly minimally invasive treatment of the adolescent varicocele with no risk of hydrocele development

Storm

Hogan

Jayanthi

2010

Journal of Pediatric Urology

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“…5 Ho we ver, ne it her bal lo on nor co il em bo li za tion has be en re por ted to ca u se se ri o us cli ni cal events. 2,3,5 Alt ho ugh it is known that co ils used du ring em bo li za ti on ha ve a risk of mig ra ti on, the re is only one ca se of va ri co ce le em bo li za ti on comp lica ted by pul mo nary mig ra ti on of co ils. 6 We suppo se that our ca se is the se cond ca se of pul mo nary mig ra ti on of the va ri co ce le co il af ter the pro cedu re.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Embolism Due to Metal Coil:Case Report

Tanrıöver¹,

Ergan²,

Emri³

2011

Turkiye Klinikleri J Med Sci

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oil embolization has been reported as a safe and effective treatment modality for varicoceles of the testis. 1 The major advantage of this approach is its relatively low rate of complications. 2 Here, we present a rare complication of this approach in a male patient who presented with incidental metal opacities observed on a chest radiogram. CASE REPORTA 42-year-old male patient was referred to the Pulmonology Clinic because of metal opacities detected incidentally on the posteroanterior chest Xray. Past history revealed that he had suffered from diffuse pruritic lesions A AB BS S T TR RA AC CT T Ra di o lo gi cal stu di es may so me ti mes re ve al unex pec ted fin dings. A 42-ye ar-old ma le pati ent was re fer red to our cen ter be ca u se of me tallic opacities ob ser ved on the chest X-ray. Physi cal exa mi na ti on was un re mar kab le ex cept for ma cu lar le si ons on both lo wer ex tre mi ti es. A de ta i led medi cal his tory re ve a led that the pa ti ent had a va ri co ce le in the right tes tis which was ob li te ra ted with co il em bo li za ti on 12 ye ars ago. The me tallic opacities ob ser ved on the chest X-ray we re consi de red to re sult from the mig ra ti on of the co ils from tes tis to the lungs. Co il em bo li za ti on is an effec ti ve and sa fe pro ce du re in the tre at ment of va ri co ce le. Ho we ver, as pre sen ted in the ca se, the pro ce du re may ca u se comp li ca ti ons in a cer ta in sub gro up of pa ti ents. Mig ra ti on of co ils from the va ri co se tes ti cu lar ve ins to the pul mo nary ves sels may be cli ni cally in sig ni fi cant; ho we ver, when fo und in ci den tally, it may po se a di ag nos tic prob lem that ne eds to be sol ved by the cli ni ci an.K Ke ey y W Wo or rd ds s: : Em bo li za ti on, the ra pe u tic; va ri co ce le; lung; comp li ca ti ons Ö ÖZ ZE ET T Gö rün tü le me tet kik le rin de ba zen hiç bek len me yen bul gu lar sap ta na bi lir. Kırk iki ya şın da bir er kek has ta ak ci ğer gra fi sin de gö rü len me tal dan si te ler ne de niy le mer ke zi mi ze sevk edil di. Her iki alt eks tre mi te de ma kü ler lez yon lar dı şın da fi zik mu a ye ne sin de özel lik yok tu. Ay rın tı lı tıb bi öy kü has ta nın sağ tes ti sin de 12 yıl ön ce hal ka em bo li zas yo nuy la ve nog ra fik ola rak tı ka ma ya pıl mış bir va ri ko se li ol du ğu nu açı ğa çı kar dı. Ak ci ğer gra fi sin de ki bu me tal dan si te le rin va ri ko sel de ki hal kala rın ak ci ğer le re göç et me sin den kay nak lan dı ğın dan şüp he edil di. Hal ka em bo li zas yo nu, va ri ko sel te da vi sin de et ki li ve gü ve ni lir bir yön tem dir, an cak su nu lan has ta da ol du ğu gi bi komp li kas yon lara yol aça bi lir. Ge niş le miş tes ti kü ler ven ler den bu hal ka la rın pul mo ner da mar la ra göç et me si klinik ola rak önem siz ola bi lir an cak, te sa dü fen sap tan dı ğın da, kli nis yen ta ra fın dan çö zül me si güç bir ta nı sal prob lem ya ra ta bi lir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Em bo li zas yon, te da vi amaç lı; va ri ko sel; ak ci ğer; k...

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Radiological treatment of male varicocele: technical, clinical, seminal and dosimetric aspects

Cited by 41 publications

References 18 publications

Antegrade pampiniform plexus venography in recurrent varicocele: Case report and anatomy review

Antegrade pampiniform plexus venography in recurrent varicocele: Case report and anatomy review

Initial experience with percutaneous selective embolization: A truly minimally invasive treatment of the adolescent varicocele with no risk of hydrocele development

Pulmonary Embolism Due to Metal Coil:Case Report

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