A proposed anatomic typing of the right internal spermatic vein: Importance for percutaneous sclerotherapy of varicocele

Yoel Siegel; Yigal Gat; Gil N. Bacher; Michael Gornish

doi:10.1007/s00270-005-0037-9

A proposed anatomic typing of the right internal spermatic vein: Importance for percutaneous sclerotherapy of varicocele

Yoel Siegel, Yigal Gat, Gil N. Bacher, Michael Gornish

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Purpose: To classify the anatomic types of the right internal spermatic vein (ISV). Methods: We evaluated venograms obtained in 150 consecutive patients with idiopathic varicocele referred for transfemoral sclerotherapy. Results: Six anatomic types of the right internal spermatic vein (ISV) were recognized. These were classified by the location of their orifices and the tributary venous patterns. In roughly half the patients (53%), the ISV appeared as a simple vein with no remarkable retroperitoneal interconnections. In the remainder, complex retroperitoneal anastomoses were encountered. Conclusion: By understanding these anatomic variations, the angiographer can approach treatment of right-sided varicocele with foreknowledge of the nature of these types and the presence of valves and collaterals.

Original language	English (US)
Pages (from-to)	192-197
Number of pages	6
Journal	Cardiovascular and Interventional Radiology
Volume	29
Issue number	2
DOIs	https://doi.org/10.1007/s00270-005-0037-9
State	Published - Apr 1 2006
Externally published	Yes

Keywords

Infertility
Right internal spermatic vein
Sclerotherapy
Varicocele
Vein anatomy

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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