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Varikocelės gydymas antegradine skrotaline skleroterapija ir jos rezultatų palyginimas su kitais gydymo metodais ir operacijomis / The treatment of varicocele by antegrade scrotal sclerotherapy and the comparison of its results with other modalities of varicocele treatment

ABBREVIATIONS

ASS antegrade scrotal sclerotherapy
Endo general anesthesia
Loc local anesthesia
LV laparoscopic varicocelectomy
ns not significant
RS retrograde sclerotherapy
SD standard deviation
SEVA spermatico-epigastric venous anastamosis
Δ difference between value





































INTRODUCTION

Varicocele is an enlargement of the veins of the spermatic cord, which may cause infertility of men and pain in the testicle. This disease is cured in various interventional and surgical ways of treatment. Open surgeries according to Palomo and Ivanisevic are considered to be a classical way of treatment of varicocele. However, during two recent decades open surgeries are performed less in relation to wound infections that make 5.8% (Zuckerman et al. 1994) and a rather big number (16%) of recurrence of a disease (Rothman et al. 1981, Cayan et al. 2000, Kass et al. 2001). More simple and minimally invasive ways of treatment of varicocele are being searched. Retrograde sclerotherapy of the veins of the spermatic cord (RS) or embolization is an easier procedure and patients spend less time in hospital. However, these interventions are not available to perform in 15-30% of all cases (Porst et al. 1984, Okuyama et al. 1988, Winkelbauer et al. 1994, Abdulmaaboud et al. 1998), and the frequency of recurrence makes 10-15% (Lenk et al. 1994, Punekar et al. 1996). After the introduction of microsurgical equipment, the veins of the spermatic cord are ligated using... [to full text]

Identiferoai:union.ndltd.org:LABT_ETD/oai:elaba.lt:LT-eLABa-0001:E.02~2005~D_20051202_101820-79178
Date02 December 2005
CreatorsMickevičius, Ramūnas
ContributorsPundzius, Juozas, Kaunas University of Medicine
PublisherLithuanian Academic Libraries Network (LABT), Kaunas University of Medicine
Source SetsLithuanian ETD submission system
LanguageLithuanian
Detected LanguageEnglish
TypeDoctoral thesis
Formatapplication/pdf
Sourcehttp://vddb.library.lt/obj/LT-eLABa-0001:E.02~2005~D_20051202_101820-79178
RightsUnrestricted

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