Wald Moshe, Armstrong-Pavlik Fiona
Urology, University of Iowa Hospitals and Clinics, Iowa City, USA.
Urology, University of Iowa, Iowa City, USA.
Cureus. 2021 Dec 21;13(12):e20580. doi: 10.7759/cureus.20580. eCollection 2021 Dec.
Varicocele is a common condition, estimated to be present in 15% of the general male population. It consists of abnormal dilation and tortuosity of the internal spermatic veins within the pampiniform plexus of the spermatic cord. In adults, varicocele repair may be considered in cases of scrotal pain, or of infertility associated with impaired sperm parameters. Microsurgical varicocelectomy is currently a common method for varicocele repair. Superficial penile vein thrombophlebitis has been previously reported to occur after microsurgical varicocelectomy but has not been well recognized as a possible complication of this surgery. We present three cases of superficial penile vein thrombophlebitis after microsurgical varicocelectomy. Diagnosis on this condition was based on physical examination, mainly a palpable cord-like structure along the involved vein, without overlying redness. Signs and symptoms of superficial penile vein thrombophlebitis resolved after a 4-8-week course of aspirin at the dose of 325 mg daily. Awareness of this possible post-operative complication and its possible management could be helpful to the clinicians involved in the care of patients with varicoceles.
精索静脉曲张是一种常见病症，据估计在普通男性人群中的发生率为15%。它是由精索蔓状静脉丛内精索内静脉的异常扩张和迂曲组成。在成年人中，对于阴囊疼痛或伴有精子参数受损的不育症病例，可考虑进行精索静脉曲张修复术。显微外科精索静脉结扎术目前是精索静脉曲张修复的常用方法。先前已有报道称，显微外科精索静脉结扎术后会发生浅表阴茎静脉血栓性静脉炎，但尚未被充分认识到这是该手术可能出现的并发症。我们报告了3例显微外科精索静脉结扎术后发生浅表阴茎静脉血栓性静脉炎的病例。对此病症的诊断基于体格检查，主要是在受累静脉处可触及条索状结构，且无皮肤发红。浅表阴茎静脉血栓性静脉炎的体征和症状在每日服用325毫克阿司匹林，疗程为4 - 8周后得到缓解。认识到这种可能的术后并发症及其可能的处理方法，可能会对参与精索静脉曲张患者护理的临床医生有所帮助。
