Department of Urology, Hospital del Mar, Barcelona, Spain.
BJU Int. 2011 Jan;107(1):95-8. doi: 10.1111/j.1464-410X.2010.09465.x.
To describe the symptomatology, diagnosis and treatment of superficial thrombosis of the dorsal penile vein - the most common complication of subinguinal varicocelectomy - and analyse the possible mechanisms involved in the development of the condition.
The clinical records of 326 patients who underwent varicocele repair during the last 10 years was reviewed. The technique used was subinguinal varicocelectomy with arterial preservation. A mini-Doppler probe was used during surgery for artery identification. We report on the postoperative complications of varicocelectomy, with special attention to superficial dorsal penile vein thrombosis, and provide a detailed description of the anatomy of the superficial venous system of the penis.
Complications usually associated with varicocele surgery occurred in less than 1% of patients. However, the most common complication in our series was superficial dorsal penile vein thrombosis, which occurred in 2.1% of patients. The use of the mini-Doppler probe allowed us to identify and preserve the arteries in all 326 patients.
Subinguinal varicocelectomy with intra-operative use of a mini-Doppler probe is a rapid and safe technique. The outcomes and complications are similar to those reported for subinguinal microscopic varicocelectomy. Superficial dorsal penile vein thrombosis is a benign self-limited condition whose association with subinguinal varicocelectomy has not been previously reported.
描述阴茎背浅静脉血栓形成的症状、诊断和治疗——这是腹股沟下精索静脉结扎术最常见的并发症，并分析该病症发展过程中涉及的可能机制。
回顾了过去 10 年 326 例接受精索静脉曲张修复术的患者的临床记录。采用的技术是保留动脉的腹股沟下精索静脉结扎术。术中使用微型多普勒探头识别动脉。我们报告精索静脉曲张手术后的并发症，特别关注阴茎背浅静脉血栓形成，并详细描述阴茎浅静脉系统的解剖结构。
并发症通常发生在不到 1%的患者中，与精索静脉曲张手术相关。然而，在我们的系列中最常见的并发症是阴茎背浅静脉血栓形成，发生率为 2.1%。微型多普勒探头的使用使我们能够在所有 326 例患者中识别和保留动脉。
术中使用微型多普勒探头的腹股沟下精索静脉结扎术是一种快速、安全的技术。其结果和并发症与腹股沟下显微镜精索静脉结扎术相似。阴茎背浅静脉血栓形成是一种良性自限性疾病，与腹股沟下精索静脉结扎术的关联以前没有报道过。
