[The spermatic venography in the treatment of varicocele in children].

Embolization of the left internal spermatic vein is an effective nonsurgical treatment for varicocele. We performed spermatic venography in 17 children, during embolization procedure, in the last 7 years. The venographic findings were: Reflux reno-spermatic in 14 children, Non reflux reno-spermatic in one, and two children were Mixed-reflux in both spermatic venous systems. Embolization therapy was done in 15 cases in the same act. At follow up there were successful in 11 children (74%) and persistence of varicocele in 4 cases (26%). Surgical treatment was applied primarily in 2 children and secondarily post-embolization failure in 4 cases. In this paper we address the mechanism of varicocele on basis of venographic findings, in order to determining the optimal treatment.