Treatment of renal hypertension during varicocele
https://doi.org/10.52888/0514-2515-2021-349-2-12-16
Abstract
Aim. To evaluate the results of treatment of renal hypertension in varicocele after the formation of the proximal intervenous anastomosis.
Material and methods. A survey was conducted among 167 patients with varicocele aged 16 to 39 years. The evaluation of the Varicocele degree was made by the classification of the Amerla Cubin, which is used in the WHO Classification (1997). All patients had clinical signs of varicocele. Ipsilateral testicle hypotrophy was detected in 21 (12.6%) and hydrocele 6 (3.6%) patients. All patients before and after the operation went through the analysis of ejaculate.
Results and discussion. The renotesticular hemodynamic type of varicocele was found in 115 (68.9%) of 167 surveyed patients. Varicocele of 1 degree was detected in 17 (14.8%) cases, 2 degrees in 31 (26.9%) and 3 degrees in 67 (58.3%) patients. With doppler ultrasonography of the veins of the spermatic cord, the inner diameter varied from 3 to 6 mm. On average, this value was 4.3±1.1 mm. All these patients received subinguinal varicocelectomy by Marmar. Therefore, the vein drainage operations to reduce renal hypertension was carried out for 65 (56.5%) patients.
Conclusion. The formation of intervenous anastomoses is a pathogenetically justified method of treating regional venous renal hypertension in varicocele.
About the Authors
K. P. Artykov
Department of surgical diseases № 2 of SEI Avicenna Tajik State Medical University; 2SU “Republican scientific center of cardiovascular surgery»
Tajikistan
Tajikistan
Dushanbe
B. Sadulloev
SU “Republican scientific center of cardiovascular surgery»
Tajikistan
Tajikistan
O. F. Soliev
Department of surgical diseases № 2 of SEI Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Soliev Olimzhon Fattoevich – full-time postgraduate student of the SEI “Avicenna Tajik State Medical University”
734003, Dushanbe, Rudaki Ave. 139.; phone: +(992)988748004
N. M. Mirzoev
Department of surgical diseases № 2 of SEI Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Dushanbe
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Review
For citations:
Artykov K.P., Sadulloev B., Soliev O.F., Mirzoev N.M. Treatment of renal hypertension during varicocele. Health care of Tajikistan. 2021;(2):12-16. (In Russ.) https://doi.org/10.52888/0514-2515-2021-349-2-12-16
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