Urology

doi: 10.25005/2074-0581-2017-19-3-379-381
VARICOCELE RELAPSE CAUSES

N. D. Mukhiddinov1, M. H. Malikov2, F. Sh. Rashidov2, H. S. Odinaev3, Z. R. Abdulloev2

1Department of Surgical Diseases and Endosurgery, Institute of Postgraduate Education in Healthcare, Dushanbe, Tajikistan
2Departments of Plastic and Microsurgery; Endovideosurgery; Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Tajikistan
3Department of Endourology, Scientific-Educational and Clinical Center of Urology, Dushanbe, Tajikistan

Objective: Identification of the causes of relapse after surgical treatment of varicocele.

Methods: Thirty-nine patients with varicocele relapse at the age of 18 to 36 years were examined. All patients were previously operated by other medical institutions. In addition, to general clinical and laboratory methods of examination, patients underwent Dopplerography of testis vessels in orthostasis and clenostasis using Valsalva and Flaty maneuvers.

Results: With varicocele relapse, three hemodynamic types of venous outflow disturbance have been detected in the internal seminal vein and various microsurgical methods of treatment have been suggested based on this. The relapse of the disease after repeated operations was not observed.

Conclusions: Microsurgical methods of varicocele relapse are alternative traditional ways and proved it’s sufficiently high efficiency.

Keywords: Varicocele relapse, hemodynamic varicocele types, microsurgical treatment.

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References
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Authors informations:

Muhiddinov Nuriddin Davlatalievich, Doctor of Medical Sciences, Head of the Department of Surgical Diseases and Endosurgery, Institute of Postgraduate Education in Healthcare

Malikov Mirzobadal Khalifaevich, Candidate of Medical Sciences, Research Fellow of the Department of Plastic and Microsurgery, Republican Scientific Center for Cardiovascular Surgery

Rashidov Fakhriddin Shamsiddinovich, Candidate of Medical Sciences, Research Fellow of the Department of Endovideosurgery, Republican Scientific Center for Cardiovascular Surgery

Odinaev Hokimbeg Saidovich, Candidate of Medical Sciences, Head of the Department of Endourology, Scientific Educational and Clinical Center for Urology

Abdulloev Zikriyo Rakhimboevich, Candidate of Medical Sciences, Research Fellow of the Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

Address for correspondence:

Muhiddinov Nuriddin Davlatalievich

Doctor of Medical Sciences, Head of the Department of Surgical Diseases and Endosurgery, Institute of Postgraduate Education in Healthcare

734025, Republic of Tajikistan, Dushanbe, I. Somoni Ave., 59

Tel.: (+992) 919 246916

E-mail: nuridd@mail.ru

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