Left testicular vein anatomy has received more attention due to the presence of competent or incompetent venous valves and bypassing anastomoses, which are involved in venographic diagnosis and embolisation of varicocele. The left gonadal vein develops, in both males and females, between the 5(th) and 71 intrauterine weeks, being derived from the distal or postrenal portion of the left subcardinal vein. The varicocele aetiologic hypothesis leads to ontogenetic disturbances in the development of the secondary venous system. Retrograde testicular venography shows the precise anatomy of the left pampiniform plexus, while anterograde testicular venography identifies the presence of the valve and possible continence. In the present case sclerotherapy could not be achieved due to testicular vein anomalies. Sclerotherapy versus surgical high ligature of the left testicular vein in cases of left idiopathic varicocele with testicular vein anomalies is discussed.

Forte, F., Latini, M., Foti, N., Sorrenti, S., De Antoni, E., Virgili, G., et al. (2001). Bahren types III and IVa testicular vein anomalies as a reason for failure in left idiopathic varicocele retrograde sclerotherapy. Ontogenic discussion and clinical implications. SURGICAL AND RADIOLOGIC ANATOMY, 23(6), 427-431.

Bahren types III and IVa testicular vein anomalies as a reason for failure in left idiopathic varicocele retrograde sclerotherapy. Ontogenic discussion and clinical implications

VIRGILI, GUIDO;VESPASIANI, GIUSEPPE;
2001

Abstract

Left testicular vein anatomy has received more attention due to the presence of competent or incompetent venous valves and bypassing anastomoses, which are involved in venographic diagnosis and embolisation of varicocele. The left gonadal vein develops, in both males and females, between the 5(th) and 71 intrauterine weeks, being derived from the distal or postrenal portion of the left subcardinal vein. The varicocele aetiologic hypothesis leads to ontogenetic disturbances in the development of the secondary venous system. Retrograde testicular venography shows the precise anatomy of the left pampiniform plexus, while anterograde testicular venography identifies the presence of the valve and possible continence. In the present case sclerotherapy could not be achieved due to testicular vein anomalies. Sclerotherapy versus surgical high ligature of the left testicular vein in cases of left idiopathic varicocele with testicular vein anomalies is discussed.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/24 - Urologia
English
Con Impact Factor ISI
Embryonic disturbances; Idiopathic varicocele; Left testicular internal vein; Phlebography
5
Forte, F., Latini, M., Foti, N., Sorrenti, S., De Antoni, E., Virgili, G., et al. (2001). Bahren types III and IVa testicular vein anomalies as a reason for failure in left idiopathic varicocele retrograde sclerotherapy. Ontogenic discussion and clinical implications. SURGICAL AND RADIOLOGIC ANATOMY, 23(6), 427-431.
Forte, F; Latini, M; Foti, N; Sorrenti, S; De Antoni, E; Virgili, G; Vespasiani, G; Bronzetti, E
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/54336
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