Percutaneous retrograde endovascular occlusion for pediatric varicocele

Fawaz Fayad1, Nicolas Sellier, Maud Chabaud

  • 1Service de Chirurgie Pédiatrique, Hôpital Saint-Camille, Bry sur Marne, France.

Insights

Percutaneous retrograde endovascular occlusion (PREVO) is a safe and effective treatment for pediatric varicocele. This minimally invasive procedure achieved a 93% varicocele-free rate in boys, often under local anesthesia.

Area of Science:

  • Pediatric Urology
  • Vascular Surgery
  • Minimally Invasive Procedures

Background:

  • Varicocele affects pediatric patients, potentially impacting fertility.
  • Surgical interventions are common, but minimally invasive options are sought.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous retrograde endovascular occlusion (PREVO) for pediatric varicocele.
  • To assess PREVO's success rate and complication profile in children.

Main Methods:

  • Retrospective study of 71 pediatric patients with left-sided varicocele.
  • PREVO procedure performed, with ultrasonography assessing varicocele-free status at 6 months.

Main Results:

  • PREVO was technically feasible in 96% of cases.
  • A 93% varicocele-free rate was observed at 6 months post-procedure.
  • Minor complications occurred in 6 patients, with no major adverse events.

Conclusions:

  • Percutaneous retrograde endovascular occlusion is an effective and safe treatment for pediatric varicocele.
  • The procedure can be performed on an outpatient basis, often under local anesthesia.
Abstract