Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis
Introduction We report a case series of six patients with a chief complaint of infertility who underwent microsurgical varicocelectomy for intratesticular varicocele (ITV) after undergoing orchiopexy for undescended testis in their childhood. Case presentation The patients' median age was 34 ye...
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| Format: | Article |
| Language: | English |
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Wiley
2022-09-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12498 |
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| author | Teppei Takeshima Kimitsugu Usui Shinnosuke Kuroda Takashi Kawahara Mitsuru Komeya Jun‐ichi Teranishi Hiroji Uemura Yasushi Yumura |
| author_facet | Teppei Takeshima Kimitsugu Usui Shinnosuke Kuroda Takashi Kawahara Mitsuru Komeya Jun‐ichi Teranishi Hiroji Uemura Yasushi Yumura |
| author_sort | Teppei Takeshima |
| collection | DOAJ |
| description | Introduction We report a case series of six patients with a chief complaint of infertility who underwent microsurgical varicocelectomy for intratesticular varicocele (ITV) after undergoing orchiopexy for undescended testis in their childhood. Case presentation The patients' median age was 34 years. The median age at which orchiopexy was performed was 4.5 years. All the cases of ITV were accompanied by extratesticular varicocele (ETV). All the patients underwent a microsurgical subinguinal varicocelectomy. At 3 months after operation, the ITV and ETV had disappeared in all the cases. Sperm density and motility increased in five and four patients, respectively. Conclusion ITV occurs at a relatively high frequency after orchiopexy for undescended testis. Disorder of the valvular function of the testicular vein in peeling the testicular vessels was thought to be a primary cause and is often found on the left side. Doppler ultrasonography of the testis is considered important for diagnosis. |
| first_indexed | 2024-04-14T04:24:27Z |
| format | Article |
| id | doaj.art-b538c03084974e0499e0a114d053ee21 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-04-14T04:24:27Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-b538c03084974e0499e0a114d053ee212022-12-22T02:12:24ZengWileyIJU Case Reports2577-171X2022-09-015539339610.1002/iju5.12498Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testisTeppei Takeshima0Kimitsugu Usui1Shinnosuke Kuroda2Takashi Kawahara3Mitsuru Komeya4Jun‐ichi Teranishi5Hiroji Uemura6Yasushi Yumura7Department of Urology, Reproduction Center Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology, Reproduction Center Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology, Reproduction Center Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology and Renal Transplantation Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology, Reproduction Center Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology and Renal Transplantation Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology and Renal Transplantation Yokohama City University Medical Center Yokohama Kanagawa JapanDepartment of Urology, Reproduction Center Yokohama City University Medical Center Yokohama Kanagawa JapanIntroduction We report a case series of six patients with a chief complaint of infertility who underwent microsurgical varicocelectomy for intratesticular varicocele (ITV) after undergoing orchiopexy for undescended testis in their childhood. Case presentation The patients' median age was 34 years. The median age at which orchiopexy was performed was 4.5 years. All the cases of ITV were accompanied by extratesticular varicocele (ETV). All the patients underwent a microsurgical subinguinal varicocelectomy. At 3 months after operation, the ITV and ETV had disappeared in all the cases. Sperm density and motility increased in five and four patients, respectively. Conclusion ITV occurs at a relatively high frequency after orchiopexy for undescended testis. Disorder of the valvular function of the testicular vein in peeling the testicular vessels was thought to be a primary cause and is often found on the left side. Doppler ultrasonography of the testis is considered important for diagnosis.https://doi.org/10.1002/iju5.12498cryptorchidismintratesticular varicoceleorchiopexyundescended testisvaricocelectomy |
| spellingShingle | Teppei Takeshima Kimitsugu Usui Shinnosuke Kuroda Takashi Kawahara Mitsuru Komeya Jun‐ichi Teranishi Hiroji Uemura Yasushi Yumura Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis IJU Case Reports cryptorchidism intratesticular varicocele orchiopexy undescended testis varicocelectomy |
| title | Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis |
| title_full | Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis |
| title_fullStr | Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis |
| title_full_unstemmed | Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis |
| title_short | Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis |
| title_sort | microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis |
| topic | cryptorchidism intratesticular varicocele orchiopexy undescended testis varicocelectomy |
| url | https://doi.org/10.1002/iju5.12498 |
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