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.