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Updated: Jul 5, 2026

Combination of High Ligation and Intraoperative Embolization Using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
Percutaneous Embolization for Painful Varicocele: An 8-Year Tertiary Centre Experience
Philippe Haroun1, Salvatore Murgo1, Georges Mjaess2
1Department of Interventional Radiology, Erasme Hospital, Hôpital Universitaire de Bruxelles, Brussels, Belgium.
Varicocele embolization is an effective and safe treatment for scrotal pain in men. Further randomized trials are needed to establish optimal treatment strategies for varicocele.
Area of Science:
- Interventional Radiology
- Urology
- Male Reproductive Health
Background:
- Varicocele is a prevalent condition in men, potentially causing various clinical issues.
- Current treatment options for varicocele include surgical and non-surgical interventions.
- Evidence from randomized controlled trials comparing treatment modalities is lacking.
Purpose of the Study:
- To evaluate the safety and efficacy of varicocele embolization.
- To analyze outcomes of embolization procedures over an 8-year period.
Main Methods:
- Retrospective analysis of 182 varicocele embolization procedures.
- Data collection included demographics, procedure details, success rates, and complications.
- Telephone interviews were conducted for follow-up information.
Main Results:
- The technical success rate was 88.15%, with coils used in 91.94% of cases.
- Ultrasonographic success was achieved in 44.87% of patients.
- Clinical success for scrotal pain was 70.42%, with a 10.45% minor complication rate.
Conclusions:
- Varicocele embolization is a safe and efficient procedure for managing scrotal pain.
- Further randomized controlled trials are necessary to refine treatment protocols for varicocele.
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