M. Lima et al., THE VARICOCELE IN PEDIATRIC AGE - 207 CASES TREATED WITH MICROSURGICAL TECHNIQUE, European journal of pediatric surgery, 7(1), 1997, pp. 30-33
Between 1984 and 1995, 207 boys afflicted by varicocele have undergone
surgery. They were all treated employing a venous microvascular termi
no-terminal anastomosis between spermatic and inferior epigastric vein
s. The recurrence rate with this technique (3%) is much lower than Iva
nissevich's one (nearby 15 %). The clinical results are optimal, with
disappearance of varices in the majority of cases and improvement of t
he testicular trophism in the remainder. This technique enables the es
tablishment of an immediate and physiological testicular venous outflo
w essential for testicular growth and development.