Spinal Cord Injury Following Antegrade Scrotal Sclerotherapy for Varcicocele: A Case Report.

Abstract:

:Varicocele is one of the causes of male infertility. Treatment aims to improve the chance of conception despite lasting controversies about benefits of varicocele repair on fertility. Many techniques have been described for varicocele management including the antegrade scrotal sclerotherapy (ASS). Interestingly, ASS is often presented as a safe, easy, and cost-effective procedure with low recurrence and complication rates. However, we report the first case of spinal cord paralysis following ASS probably due to embolization of venous anastomoses between left spermatic and ascending lumbar veins, which were undetected at preoperative phlebography. Based on this case and recent literature, we raise questions about the safety of ASS and try to figure out what would be the best way to improve the detectability of potential harmful anastomoses at preoperative phlebography.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Rossi M,Jacobs D,Wespes E,Roumeguère T,Raynal P

doi

10.1159/000481831

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

478-480

issue

4

eissn

0042-1138

issn

1423-0399

pii

000481831

journal_volume

101

pub_type

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