PTU - Polskie Towarzystwo Urologiczne
list of articles:

Results of surgical treatment in patients with varicocele
Article published in Urologia Polska 1992/45/3.

authors

Tadeusz Zajączkowski, Spiridon Simadirakis, Winfried Straube
Z Oddziału Urologicznego Marienhospital Essen Kierownik: prof. dr med. W. Straube

summary

The article is based on 10-year observation of 194 patients operated for varicocele. In 41 patients surgery was performed because of intertility, the rest of patients (79%) were operated on due to other indications. In 56% of the patients who underwent surgery because of intertility their partner became pregnant and 76.5% had a significant improvement in semen quality. In 14.4% of patients persistent varicocele were observed after surgery. In 9.6% patients hydrocele appeared between 2 and 96 months after high ligation on the spermatic vein.

references

  1. 1.Bernardi R.: Trataminento quirurgico del varicocele; conceptos y algunas modyficationnes en su tecnica. Semana med., 1941,2, 849. —
  2. 2. Buch J. P., Cromie W. J.: Evaluation and treatment of the preadolscent varicocele. Urol. Clin. N. Amer., 1985, 12,
  3. 3. — Comhaire F. H., Kunnen M.: Factors affecting the probability of conception after treatment of subfertile men with varicocele by transcathedral embolisation with Bucrylate. Fert. Stril., 1985, 43, 781. —
  4. 4. Gall H., Rudofsky G., Bahren W., Roth J., Altwein J. E.: Intravasale Druckmessungen und Phlebographie der Vena renalis: Ein Beitrag zur Atiologie der Varicocele. Urologe(A),1987, 26,325.
  5. 5. Hudson W. R.: The endocrinology of varicoceles. Fer. Steril., 1988, 49, 199. —
  6. 6.Ivanissevich O.: Left varicocele due to reflux. Experience with 4470 operative cases in 42 years. J. Int. coll. Surg., 1960, 34, 742. —
  7. 7. Lima S., Castro M. P., Costa C. F.: A new method for the treatment of varicocele. Andrologia, 1978, 10, 103. —
  8. 8. Ludwig G.: Bildgebende Diagnostik in der manlichen Reproduktionsmedizin. Urologe (A), 1990,29, 135. —
  9. 9. Palomo A.: Radical cure of varicocele by new technique: preliminary report. J. Urol., 1949, 61, 604. —
  10. 10. Porst H., Bahren W., Lenz M., Altwein J. E.: Percutaneous sclerotherapy of varicocele — an alternative to conventional surgical method. Brit. J. Urol., 1984, 56, 73.
  11. 11. Schickedanz H., Kleinteich B.:Varicocele testis — eine Kinderkrankheit? Z. Urol. Nephrol.,1987, 80, 93. —
  12. 12. Szabo R., Kessler R. Hydrocele following internal spermatic vein ligation:a retrospective study and review on the literature. J. Urol.,1984, 132, 924. —
  13. 13. Weijibach L., Gleissner J., Gleissner O., Buscello H.: Haufigkeit der Varicocele. Dtsch. med. Wschr.,1983, 108, 17. —
  14. 14. Zepnick H., Giesseler M., Matz M., Adler D., Kuster P., Brandt H. G., Adler F.: Varikozele und Fertilitatspermiographische und histologische Befunde. Z Urol. Nephrol., 1986, 79, 229.

correspondence

dr med. Tadeusz Zajączkowski, 4300 Essen 12,
Hospital Str. 24, Marienhospital, Urologische Abteilung, Niemcy