Microsurgical bypass for varicocele with nutcracker syndrome
CHEN Guo-xiao
ZHANG Xiang-sheng
ZHU Xiao-bo
CHEN Xin
Abstract：Objective:To investigate the clinical effect and feasibility of internal spermatic vein-inferior epigastric vein (ISV-IEV) bypass surgery in the treatment of varicocele complicated by left renal vein nutcracker syndrome (NCS).Methods:We retrospectively analyzed the clinical data about 30 cases of varicocele with left renal vein NCS treated by ISV-IEV bypass surgery in our hospital from June 2014 to February 2017.We reviewed the follow-up data and results of ultrasonography,routine urianlysis and semen routine examination.Results:All the operations were successfully accomplished and postoperative color Doppler ultrasonography showed that varicocele was cured in all the cases.At 6 months after surgery,sperm concentration and the percentage of grade a ± b sperm were significantly improved ([34.47 ± 8.60] × 106/ml and [63.54％ ± 9.58] ％) as compared with the baseline ([19.90 ± 8.97] × 106/ml and [37.93 ± 8.73] ％) (P ＜ 0.05).Hematuria was cured in 23 and alleviated in 1 of the 24 cases.Proteinuria disappeared in all the 14 cases,with neither scrotal pain symptoms nor obvious complications.Conclusion:ISV-IEV bypass surgery,with its advantages of safety,effectiveness,minimal invasiveness,and simple operation,deserves wide clinical application in the treatment of varicocele with left renal vein NCS.
Keywords：varicocelenutcracker syndromeinternal spermatic vein-inferior epigastric vein bypass surgery
Publication Date：2017-09-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 798-803 )