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Updated: Oct 2, 2026

Combination of High Ligation and Intraoperative Embolization Using Polidocanol for Treatment of Varicoceles
03:06

Combination of High Ligation and Intraoperative Embolization Using Polidocanol for Treatment of Varicoceles

Published on: December 22, 2023

[Role of spermatic vein phlebography and scleroembolization in treating varicocele and preventing its recurrence]

V K Ryzhkov, A V Karev, S N Petrova

    Vestnik Khirurgii Imeni I. I. Grekova
    |March 21, 2002
    PubMed

    Insights

    Intravascular scleroembolization is highly effective for treating varicocele. Transjugular access improves outcomes and reduces recurrence by enabling bilateral intervention and accurate diagnosis of retrograde flow.

    Area of Science:

    • Vascular Surgery
    • Interventional Radiology
    • Urology

    Background:

    • Varicocele, a common cause of male infertility, often requires effective treatment.
    • Intravascular techniques offer minimally invasive options for varicocele management.

    Purpose of the Study:

    • To evaluate the effectiveness of intravascular combined scleroembolization for varicocele treatment.
    • To assess the utility of transjugular access for both left and right spermatic vein interventions.

    Main Methods:

    • Phlebograms and intravascular treatment were performed in 406 patients (aged 10-60).
    • Scleroembolization of the left internal spermatic vein was the primary technique.
    • Transjugular catheterization was used to assess and treat the right internal spermatic vein when indicated.

    Main Results:

    • Successful scleroembolization was achieved in 402 patients.
    • Retrograde flow through the right internal spermatic vein was noted in 101 of 238 patients during transjugular catheterization.
    • Bilateral intervention strategy improved treatment results and decreased relapse risk.

    Conclusions:

    • Intravascular combined scleroembolization is a highly effective method for varicocele treatment.
    • Transjugular access is crucial for effective right-sided spermatic vein phlebography and obliteration.
    • A bilateral intervention strategy enhances varicocele treatment outcomes and reduces recurrence rates.

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