Varicocele: strategies in diagnosis and treatment.

Abstract:

:Varicocele can be very easily diagnosed by physical examination and subsequently treated when it is painful or associated with testicular hypotrophy. However, palpability of the spermatic vein and reflux in low grade or even questionable varicoceles can be difficult to assess without imaging modalities. This can be a common problem for all physicians treating hypofertile men to decide whether the varicele needs to be treated or not. However, a gold standard that defines the presence of a subclinical varicocele has not yet been established. The different diagnostic tools based on ultrasonography investigated these past years to define a flow reversal in incontinent spermatic veins are presented in the first part of this review, with emphasis on subclinical varicocele. In the second part, we present our experience, together with a review of the literature concerning embolization of the spermatic veins as an alternative to surgery to treat varicoceles.

journal_name

Eur Radiol

journal_title

European radiology

authors

Cornud F,Belin X,Amar E,Delafontaine D,Hélénon O,Moreau JF

doi

10.1007/s003300050706

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

536-45

issue

3

eissn

0938-7994

issn

1432-1084

journal_volume

9

pub_type

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