Varicocele percutaneous embolization outcomes in a pediatric group: 7-year retrospective study

Malekzadeh, Sonaz; Fraga‐Silva, Rodrigo A.; Morère, Pierre-Henri; Sorega, Alexandra; Produit, S; Stergiopulos, Nikolaos; Constantin, C.

doi:10.1007/s11255-016-1340-x

Cited by 21 publications

(16 citation statements)

References 28 publications

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“…In our experience, after a long training in pubertal and adolescent subjects, percutaneous sclerotherapy is a safe and minimally invasive procedure and offers the advantage of a certain diagnosis, less patient discomfort, local anaesthesia and rapid recovery (Halpern, Mittal, Pereira, Bhatia, & Ramasamy, ; Malekzadeh et al, ).…”

Section: Discussionmentioning

confidence: 99%

Early varicocelectomy by percutaneous scleroembolization improves seminiferous tubules spermatozoa release in the adolescent phase of testicular growth

et al. 2019

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Varicocele is a rather common andrological condition in adolescents, which can adversely affect testicular growth and seminal parameters, leading to infertility in about 20% of adults. The aim of this study was to investigate if treating varicocele before the age of 18 is a beneficial option to improve testicular hypotrophy and seminal parameters and if minimally invasive techniques could be an appropriate treatment choice for adolescent varicocele associated with spermatic vein reflux. A percutaneous scleroembolization was performed in sixty-four consecutive young patients (13-19 years old) with left varicocele, preceded by a fluoroscopy. In thirty-four of them,

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Section: Discussionmentioning

confidence: 99%

Early varicocelectomy by percutaneous scleroembolization improves seminiferous tubules spermatozoa release in the adolescent phase of testicular growth

et al. 2019

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“…When a venous embolization technique is employed, the main reported complications are coil migration, vascular trauma, thrombophlebitis of the pampiniform plexus and contrast agent reactions. Technical success rate is reported as being equivalent to that of surgical techniques [ 132 ].…”

Section: Systematic Review To Address Question 13mentioning

confidence: 99%

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

et al. 2020

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Although often asymptomatic and detected incidentally, varicocele is a relatively common problem in patients who seek medical attention for infertility problems. Ultrasound (US) is the imaging modality of choice for evaluation, but there is no consensus on the diagnostic criteria, classification, and examination technique. In view of this uncertainty, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) undertook a systematic review of the available literature on this topic, to use as the basis for evidence-based guidelines and recommendations. This paper provides the results of the systematic review on which guidelines were constructed.

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“…However, there is some concern among people about the effects of radiation during surgery. According to Malekzadeh et al., 26 the radiation dosage in this operation was within the safe range. However, as many patients had a fear of radiation, especially patients with infertility, a lead plate was used to protect the genitals during the operation.…”

Section: Discussionmentioning

confidence: 73%

Analysis of internal spermatic vein embolization through catheter versus laparoscopic high ligation in treatment of left varicocele

et al. 2020

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Objective Varicocele is a common disease in young and middle-aged men. This study aims to compare the efficacy of internal spermatic vein embolization of left varicocele versus laparoscopic high ligation. Methods From January 2017 to September 2018, a total of 69 varicocele patients were admitted and given the opportunity to choose the treatment option. Among these, 26 patients were treated with sclerosing agent injection, while 43 patients underwent laparoscopic surgery. They were followed up for 12 months after surgery, and the technical success rate, recurrence rate, complication rate, cost, operative time, and hospitalization time with regard to these two methods were analyzed. Results All patients completed the medical procedures. There was no recurrence in patients in the sclerotherapy group during the follow-up period; however, the complication rate was 19.2%. Furthermore, the operative time, hospitalization time, and cost of treatment were 31.1 ± 11.1 min, 1.2 ± 0.49 days, and 9613.11 ± 895.97 Yuan, respectively. In the laparoscopic group, 9 patients underwent laparoscopic bilateral high ligation, while 34 patients received treatment on the left side alone. The recurrence rate of left varicocele was 4.7% and the complication rate was 44.2%. Furthermore, the operative time, hospitalization time, and treatment cost were 50.4 ± 14.48 min, 4.0 ± 2.02 days, and 10,948.29 ± 2547.00 Yuan, respectively. Moreover, there were statistically significant differences ( P < 0.05) in operative time, hospitalization time, and treatment cost. Patients in the sclerotherapy group had an advantage with respect to the overall complication rate when compared with patients from the laparoscopic group ( X2 = 4.448, P < 0.05), and there was a statistically significant difference in hydrocele ( X2 = 4.555, P < 0.05). However, there was no significant difference in the recurrence rate between these two groups ( X2 = 1.245, P > 0.05). Conclusion Patients who underwent sclerotherapy showed a higher technical success rate, a lower recurrence rate, fewer complications, and shorter hospitalization time compared to those treated with laparoscopic ligation. Transcatheter sclerosing agent injection may be a preferable treatment option for patients with unilateral varicocele.

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Varicocele percutaneous embolization outcomes in a pediatric group: 7-year retrospective study

Cited by 21 publications

References 28 publications

Early varicocelectomy by percutaneous scleroembolization improves seminiferous tubules spermatozoa release in the adolescent phase of testicular growth

Early varicocelectomy by percutaneous scleroembolization improves seminiferous tubules spermatozoa release in the adolescent phase of testicular growth

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

Analysis of internal spermatic vein embolization through catheter versus laparoscopic high ligation in treatment of left varicocele

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