Völter D, Feneis H
Urologe A. 1978 Jul;17(4):242-4.
By means of five patients who in the last 3 years had to be reoperated because of recurrence or lack of regression of varicocele, we came upon various causes of the disease and possibilities of therapy. Two possibilities for failure of therapy are shown: 1. Not all branches of vena testicularis have been ligatured. Examinations of 60 corpses showed that in 30% of the cases the vena testicularis-even at its influx into vena renalis-consisted of two branches. 2. In a number of those men with varicocele, the disease is caused not by a retrograde blood-flow into vena spermatica externa. The various causes of failure of therapy require different operative procedures. Therefore, in advance of each reoperation, the conditions drainage should be examined by phlebography.
通过对过去3年中因精索静脉曲张复发或未消退而必须再次手术的5例患者的研究，我们发现了该疾病的各种病因及治疗方法。文中展示了治疗失败的两种可能原因：1. 睾丸静脉的所有分支未全部结扎。对60具尸体的检查表明，在30%的病例中，睾丸静脉——即使在其汇入肾静脉处——由两个分支组成。2. 在一些精索静脉曲张患者中，该病并非由血液逆流至精索外静脉引起。治疗失败的各种原因需要不同的手术操作。因此，在每次再次手术前，应通过静脉造影检查引流情况。
