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Updated: Jul 29, 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

[Percutaneous treatment of primary varicocele]

A Meazza1, G Brambilla, A Rampoldi

  • 1Divisione di Urologia, Ospedale Niguarda Cà Granda di Milano.

Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|December 1, 1991
PubMed

Insights

Varicocele treatment using detachable balloons for internal spermatic vein occlusion proved safe and effective. This minimally invasive outpatient procedure successfully treated subfertility and abnormal spermatogenesis in most patients.

Area of Science:

  • Urology
  • Vascular Surgery
  • Reproductive Medicine

Background:

  • Varicocele, a common cause of male subfertility, involves abnormal dilation of testicular veins.
  • Surgical and radiological interventions aim to reduce venous pressure and improve spermatogenesis.
  • Nonsurgical options are sought for minimally invasive varicocele management.

Purpose of the Study:

  • To evaluate the safety and efficacy of internal spermatic vein occlusion using detachable balloons for varicocele treatment.
  • To assess the procedure's success rate in patients with subfertility and abnormal spermatogenesis.
  • To identify potential complications and recurrence factors.

Main Methods:

  • Forty patients with varicoceles underwent occlusion of the internal spermatic vein with detachable balloons.
  • Indications included subfertility and abnormal spermatogenesis.
  • Limited preocclusion venograms were utilized for precise balloon placement, considering collateral veins.

Main Results:

  • The procedure was successful in 39 out of 40 patients (97.5% success rate).
  • One complication was noted.
  • Precise balloon placement guided by venograms minimized the risk of recurrence from collateral veins.

Conclusions:

  • Detachable balloon occlusion of the internal spermatic vein is a safe and effective nonsurgical treatment for varicoceles.
  • This outpatient procedure offers a viable alternative for managing male subfertility associated with varicoceles.
  • Minimally invasive radiological techniques provide excellent outcomes in varicocele obliteration.

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