An Analysis of Major Causes of Surgical Failure Using Bähren System in Intraoperative Venography During Varicocelectomy

• DOI: 10.3349/ymj.2021.62.10.928
• Publication Date: 2021-09-23T07:57:32Z
• Authors: Kyung Tak Oh; Sang Woon Kim; Sung Ku Kang; Sung Hoon Kim; Cho Nyeong Lee; Sang Won Han; Yong Seung Lee
• Keywords: Venography; Spermatic Vein

Purpose In young patients with varicocele, preservation of the internal spermatic artery may be advantageous for catch-up growth, but it also increase likelihood treatment failure. Intraoperative venography reduces that unsealed veins will remain after varicocelectomy. We analyzed characteristics remnant visualized through intraoperative to investigate cause surgical failure in artery-sparing varicocelectomy (ASV). Materials and methods retrospectively clinical outcomes aged 18 years or younger who underwent from January 2005 December 2017. During varicocelectomy, was performed distinguish other structures. Any were discovered ligated classified using Bahren system. Results One hundred sixty-two venography: 153 cases (94.4%) primary 9 (5.6%) repeat Open 105 (64.8%), laparoscopic 57 (35.2%). Venography revealed first ligation 51 (31.2%), 46 (90.2%) 5 (9.8%) which types 3 4, respectively. Five (3.1%) experienced varicocele recurrence, as persistence 1 patient (0.6%) relapse 4 (2.5%). Conclusion Remnant collateral vein (ISV) (Bahren type 3) are most common ASV. a few patients, an external merges ISV at higher level 4) is unidentifiable without venography.