Urolog. pro Praxi, 2005; 2: 47-49

MICROVARIOCOCELECTOMY - MODERN THERAPY OF VARIOCELE

MUDr. Jiří Kočárek³, MUDr. Oto Köhler CSc³, MUDr. Petr Režnar³, MUDr. Zdeněk Otava¹, MUDr. Pavel Drlík³, MUDr. Jan Pokorný³, MUDr. Ondřej Kaplan^2,3

¹ Urologická klinika 3. LF UK a FN KV v Praze

² Urologické oddělení, Klaudiánova nemocnice, Mladá Boleslav

³ Urologické oddělení Ústřední vojenská nemocnice, Praha

Dilatation of the venous plexus of testicular vein affects about 15 % of men after puberty. It can be found on the left side in almost 90 % of cases. It´s caused by the venostasis in the testicle draining part of the venous system. In most cases the exact cause of varicocele is unknown (the idiopathic varicocele). Varicocele caused by the compression of draining vessels is called the secondary varicocele. Varicose changes are usually unilateral and painless. Often the varicocele isn´t diagnosed untill an examination because of the infertility takes place. The incidence of varicocele in patiens treated for infertility runs up to 39 %. Despite the common agreement that the varicocele is the most frequent pathology diagnosed in the infertile men and despite the fact that it´s correction usually leads to an improvement of fertility, the influence of variocele and the impact of varicocelectomy on fertility is still a subject of dispute. The microsurgical disection of the veins of pampiniform plexus seems to be the only contemporary therapeutic method meeting the requirement of minimal invasiveness and good effectiveness. The use of operating microscope allows the safe preservation of the testicular artery and the lymphatic vessels.

Keywords: Key words: varicocele, microvaricocelectomy, infertility, testicular artery, operating microscope.

Published: January 1, 2006  Show citation