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Intraoperative spermatic venography reconsidered
L S Palmer1, S Cohen, E F Reda
1Division of Pediatric Urology, Westchester County Medical Center, Valhalla, New York.
The Journal of Urology
|July 1, 1995
Summary
Post-ligation venography after varicocelectomy in adolescents did not significantly reduce recurrence rates. While technically simple, its efficacy in preventing varicocele recurrence remains unproven in this study.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Varicocelectomy is a common procedure for adolescents with varicocele.
- Post-ligation venography is used to confirm ligation completeness.
Purpose of the Study:
- To evaluate the efficacy of post-ligation venography in reducing varicocele recurrence after surgery in adolescents.
Main Methods:
- Review of experience with varicocelectomy and post-ligation venography in 58 adolescents.
- Analysis of recurrence rates based on whether venography was performed.
Main Results:
- A single venogram confirmed ligation in 82% of cases; 2 or more were needed for the rest.
- Recurrence rate was 8.6%, with no statistically significant difference between groups (p = 0.86).
- Venography was not performed in 8 cases due to technical issues or surgeon preference.
Conclusions:
- Intraoperative spermatic venography is technically simple and safe.
- The study did not prove the efficacy of venography in diminishing varicocele recurrence rates after varicocelectomy.