[Antegrade scrotal sclerotherapy for treatment of testicular varicocele. Technique and late results].

Abstract

Antegrade sclerotherapy has been used since 1987 to treat patients with varicocele. Carried out to date in 825 patients at our clinic, the method has proved to be easy to perform, safe, economical, and effective. The late results in 285 consecutive patients subjected to surgery who had been treated with antegrade sclerotherapy of 317 varicoceles at least 12 months before are presented and discussed. In this study varicocele was not seen to persist in 91% of the patients (n = 285). The partners of some of the patients treated had been unable to conceive a child, and in 42% of these cases pregnancy was achieved after antegrade varicocele sclerotherapy. Antegrade sclerotherapy is an alternative treatment to high ligation and retrograde sclerotherapy.