Varicocele embolisation with polidokanol and coil

Case contributed by Dr Maciej Mazgaj

Presentation

Infertile young male with abnormal semen test results. Songraphically proven left varicocele with testicular volume loss.

Patient Data

Age: 20 years
Gender: Male
DSA (angiography)

The catheter is placed in the proximal part of the testicular vein (route: iliac vein, IVC, left renal vein). After confirming the existence of varicocele, sclerosing agent and embolising coil(s) are used. Control study shows successful embolisation of testicular vein.

Venogram image 1: left renal venogram showing the left testicular vein

Venogram image 2: retrograde opacification of pampiniform plexus as a proof of insufficient valves resulting in varicocele. Series revealed existing collaterals of testicular vein.

Venogram image 3: series after administering embolising agent. Partial occlusion of testicular vein lumen visible.

Venogram image 4: series after administering additional embolising coil. No flow within testicular vein visible.

Case Discussion

Patient with chronic left groin and scrotal pain. Recent semen analysis showed immobile spermatozoa. Ultrasound examination revealed left varicocele. Intravenous left testicular vein embolisation was performed to occlude veins draining the varices.

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Case information

rID: 30497
Published: 14th Aug 2014
Last edited: 31st Aug 2018
Inclusion in quiz mode: Excluded

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