Spinal Cord Injury Following Antegrade Scrotal Sclerotherapy for Varcicocele: A Case Report

Varicocele is one of the causes of male infertility. Treatment aims to improve the chance of conception despite lasting  controversies about benefits of varicocele repair on fertility. Many techniques have been described for varicocele management including the antegrade scrotal sclerotherapy (ASS). Interestingly, ASS is often presented as a safe, easy, and cost-effective procedure with low recurrence and complicati on rates. However, we report the first case of spinal cord paralysis following ASS probably due to embolization of venous anastomoses between left spermatic and ascending lumbar veins, which were undetected at preoperative phlebography. Based on this case and recent literature, we raise questions a bout the safety of ASS and try to figure out what would be the best way to improve the detectability of potential harmful anastomoses at preoperative phlebography.Urol Int
Source: Urologia Internationalis - Category: Urology & Nephrology Source Type: research