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 journalArticle

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 languageEnglish (US)
Pages (from-to)192-197
Number of pages6
JournalCardiovascular and Interventional Radiology
Volume29
Issue number2
DOIs
StatePublished - Apr 1 2006
Externally publishedYes

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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