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タイトル: | 顕微鏡下低位結紮術後再発に対して経皮的塞栓術を施行した精索静脈瘤の2例 |
その他のタイトル: | Successful Embolization for Recurrent Varicocele of Testis after Microsurgical Subinguinal Varicocelectomy |
著者: | 木枕, 舞 永原, 啓 福原, 慎一郎 藤田, 和利 植村, 元秀 木内, 寛 今村, 亮一 宮川, 康 東原, 大樹 大須賀, 慶悟 野々村, 祝夫 |
著者名の別形: | Kimakura, Mai Nagahara, Akira Fukuhara, Shinichiro Fujita, Kazutoshi Uemura, Motohide Kiuchi, Hiroshi Imamura, Ryoichi Miyagawa, Yasushi Higashihara, Hiroki Osuga, Keigo Nonomura, Norio |
キーワード: | Recurrence Varicocele of testis Embolization |
発行日: | 30-Nov-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 11 |
開始ページ: | 493 |
終了ページ: | 497 |
抄録: | Microscopic subinguinal varicocelectomy has a recurrence of less than 1%, and varicocele recurrence is supposed to be an uncommon post-surgery adverse event. At present, no guidelines exist for the management of recurrent varicoceles after surgery. In this report, we present two cases of post-surgery recurrent varicocele of the testis. Case_1 : A 23-year-old male patient who had undergone microscopic subinguinal varicocelectomy for a grade 3 varicocele was referred to our hospital because of recurrent varicocele. Retrograde venography revealed the persistence of dilated spermatic veins. The former surgeon preserved the dilated vas deferens vein, and this was considered a possible cause of persistence of dilated spermatic veins. The vein considered as vas deferens vein was actually an internal spermatic vein. Case_2 : A 28-year-old male patient complained of recurrence of varicocele two months after the original operation for a grade 3 varicocele. Internal spermatic vessels were slightly visualized on retrograde venography. The possible cause of persistence in this case was insufficient ligation of the internal spermatic vessels. We performed embolization in both cases of recurrent varicocele. Both cases were successfully treated, and there has been no recurrence. Our findings suggest that percutaneous transcatheter embolization of the testicular vein may be effective in the management of postsurgical recurrent varicocele of the testis. |
著作権等: | 許諾条件により本文は2018/12/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_11_493 |
URI: | http://hdl.handle.net/2433/228199 |
PubMed ID: | 29232803 |
出現コレクション: | Vol.63 No.11 |
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