The treatment of varicocele endovascular intervention using the sandwich technique at Bach Mai Hospital

Dr Nguyen Xuan Hien1, Dr Phan Hoang Giang1, Dr le Van Khanh1, Dr Do Huy Hoang2
1 Doctor of Diagnostic Imaging photo, Bach Mai Hospital
2 Inpatient Diagnosis image, University of Medicine Hanoi

Main Article Content

Abstract

Purpose: Evaluating the result of varicocele endovascular intervention by sandwich technique combining Coils and glue (histocryl).


Methods and objectives: 78 patients were diagnosed and treated successfully at Bach Mai hospital from 5/2009 to 5/2017, they were examined, performed semen analysis and ultrasound at before and after 6 months of embolization.
Result: The average age of 22.6 years old, the hospitalized reasons is mainly scrotal pain, with 76.9%. After 6 months of treatment, all patients have pain reduction, the pain scores decreased from 6.7 points to 1.2, p < 0.05. Increasing sperm concentration from 10 million/ml to 21 million/ml, sperm mobility increased from 27% to 55%, p <0.05. Spermatic vein
diameter returns to normal limits and have no reflux line after 6 months. No major or minor complications during the intervention and 6 months after intervention
Conclusion: Embolization of spermatic vein with technique sandwich combined Coils and glue to treat varicocele is safe and high effective.

Article Details

References

1. Berger OG, Varicocele in adolescence. ClinPediatr (Phila), 1998. 19:(810-811).
2. Aziz N, Agarwal A, Nallella KP, et al. Relationship between epidemiological features and aetiology of male infertility as diagnosed by a comprehensive infertility service provider. Reprod Biomed Online, 2006. 12: p. 209-2014.
3. Bigot JM and et al. Trait ment endovasculaire des varicocèles. Radiodiagnosis - Urologie - Gynécologie, 2003(34-450-D).
4. Kurgan A, Nunnelee J., Zilberman M. The importance of the early detection of varicocele in adolescent males. 1994. 19: p. 36-37.
5. Homonnai ZT, Engelhard Y, Rudberg Z, David MP, Paz G. Varicocelectomy and male fertility: comparison of semen quality and recurrence of varicocele following varicocelectomy by two techniques. Int J Androl 1997. 3: p. 447-458.
6. Roberto Gandini and et al. Transcatheter foam sclerotherapy with sodium tetradecyl sulfate--outcome in 244 patients. Radiology,2008. 246: p.2.
7. Kian-Hiong Tay and et al. Selective Spermatic Venography and Varicocele Embolization in Men with Circumaotic Left Renal Veins. Journal vascular interventional radiology 2002. 13: p. 739-742.
8. Nicolas Favard, Morgan Moulin, and et al. Comparison of three different embolic materials for varicocele embolization: retrospective study of tolerance, radiation and recurrence rate. Quantitative imaging in Medicine and Surgery, 2015. 5(6): p. 806-814.
9. Puche-Sanz and et al. Primary treatment of painful varicocoele through percutaneous retrograde embolization with fibred Coilss. Andrology, 2014. 2: p. 716-720.