Juxta-renal varicocelectomy for recurrent varicocele following retroperitoneal operation

Two patients with recurrent painful left varicocele following retroperitoneal varicocelectomy were subjected to juxta-renal varicocelectomy by a transverse supraumbilical incision. Ligature of the testicular vein was carried out just below the renal vein. Minute periarterial veins were disrupted by desheathing the testicular artery. Both patients were cured of their varicocele as judged by scrotal ultrasonography and by color duplex ultrasonography. Average follow-up period was 5 months.