Videolaparoscopic Spermatic Veins Ligation in Cases of Bilateral Varicocele

  • C. Trombetta
  • M. Deriu
  • E. Salisci


The laparoscopic treatment of varicocele has been proposed by several authors [1–3]. This new technique has increased the already considerable divergence of opinion about the ideal method of varicocele correction. Laparoscopic spermatic vein ligation is based on the high ligation method, whose percentage of recurrences is due to the presence of venous collaterals [4,5].


Internal Ring Veress Needle Spermatic Vein Testicular Vein Internal Spermatic Vein 
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  1. 1.
    Winfield HN, Donovan JF, See WA, Loening SA, Williams RD (1991) Urological laparoscopic surgery. J Urol 146:941PubMedGoogle Scholar
  2. 2.
    Hargood PG, Mehan DJ, Worischeck JH, Andrus CH, Parra RO (1992) Laparoscopic varicocelectomy: preliminary report of a new technique. J Urol 147:73–76Google Scholar
  3. 3.
    Donovan JF, Winfield HN (1992) Laparoscopie varix ligation. J Urol 147:77–81PubMedGoogle Scholar
  4. 4.
    Murray RR Jr, Mitchell SE, Radir S, Raufman SL, Chang R, Rinnison ML, Smyth W, White RI Jr (1986) Comparison of recurrent varicocele anatomy following surgery and percutaneous balloon occlusion. J Urol 135:286PubMedGoogle Scholar
  5. 5.
    Raufman SL, Radir S, Barth RH, Smyth JW, Walsh PC, White RI Jr (1983) Mechanisms of recurrent varicocele after balloon occlusion or surgical ligation of the internal spermatic vein. Radiology 147:435Google Scholar
  6. 6.
    Belgrano E, Puppo P, Quattrini S, Trombetta C, Giuliani L (1984) The role of venography and sclerotherapy in the management of varicocele. Eur Urol 10:24Google Scholar
  7. 7.
    McClure RD, Hricak H (1986) Scrotal ultrasound in the infertile man: detection of subclinical unilateral and bilateral varicocele. J Urol 135:711PubMedGoogle Scholar
  8. 8.
    Belgrano E, Puppo P, Quattrini S, Trombetta C, Pittaluga P (1984) Microsurgi-cal spermatico-epigastric anastomosis for treatment of varicocele. Microsurgery 5:44PubMedCrossRefGoogle Scholar
  9. 9.
    Narayan P, Amplatz R, Gonzales R (1991) Varicocele and male subfertility. Fertil Steril 36:92Google Scholar
  10. 10.
    Pryor JL, Howards SS (1988) Varicocele. In: Tanagho EA, Lue TF, McClure RD (eds) Contemporary management of impotence and infertility. Williams and Wil-kins, Baltimore, pp. 247–264Google Scholar
  11. 11.
    Hendry WF, Soerville IF, Hall RR, Pugh RCB (1975) Investigation and treatment of the subfertile male. Br J Urol 45:684CrossRefGoogle Scholar
  12. 12.
    Cockett ATR, Urry RL, Dougherty RA (1979) The varicocele and semen characteristics. J Urol 121:435PubMedGoogle Scholar
  13. 13.
    Lipshultz LI, Howards SS (1983) Surgical treatment of male infertility. In: Lip-schultz LI, Howards SS (eds) Infertility in the male. Churchill Livingstone, New York, pp 343–366Google Scholar
  14. 14.
    Ahlberg NE, Bartley O, Chidekel N (1966) Right and left gonadal veins. An anatomical and statistical study. Acta Radiol 4:593Google Scholar
  15. 15.
    Coolsaet BLRA (1980) The varicocele syndrome: venography determining the optimal level for surgical management. J Urol 124:833PubMedGoogle Scholar
  16. 16.
    Sayfan J, Halevy A, Oland J, Nathan H (1984) Varicocele and left renal vein compression. Fertil Steril 41:411PubMedGoogle Scholar
  17. 17.
    Palomo A (1949) Radical cure of varicocele by a new technique: preliminary report. J Urol 61:604PubMedGoogle Scholar
  18. 18.
    Nadel SN, Hutchins GM, Albertsen PC, White RI Jr (1984) Valves of the internal spermatic vein: potential for misdiagnosis of varicocele by venography. Fertil Steril 41:479PubMedGoogle Scholar
  19. 19.
    Dubin L, Amelar RD (1975) Varicocelectomy as therapy in male infertility: a study of 504 cases. Fertil Steril 26:217PubMedGoogle Scholar
  20. 20.
    Okuyama A, Nakamura M, Namiki M, Takeyama M, Utsunomiya N, Fujioka H, Itatani H, Matsuda M, Matsumoto R, Sonoda T (1988) Surgical repair of vari-cocele at puberty: preventive treatment for fertility improvement. J Urol 139:562–64PubMedGoogle Scholar
  21. 21.
    Dennison AR, Tibbs DJ (1986) Varicocele and varicose veins compared. A basis for logical surgery. Urology 28:211PubMedCrossRefGoogle Scholar

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© Springer -Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • C. Trombetta
  • M. Deriu
  • E. Salisci

There are no affiliations available

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