Surgery for varicocele through Vesling line

Abstract

Chronology of the surgical treatments of varicocele is unique in its capacity for urology. The search for new methods of surgical treatment of varicocele is dictated quite frequent relapses and postoperative complications. The least studied and rarely used operations are on the scrotum varicocele. In this paper we have attempted to study the effectiveness of surgical treatment of varicocele throughscrotal access. In this paper we present the largest of the recently published material surgical treatment of varicocele through scrotal access. Innovative in this work are: the implementation of scrotal incision at the raphe scroti (Vesling line), revision of the venous reservoir testis and epididymis with the definition of the direction in which the blood flow and a simultaneous holding plastic testis shells by W. К. Winkelmann for the prevention of postoperative hydrocele (A.A. Kapto). The obtained data allows us to recommend operative access through Vesling line for treatment of the bilateral, recurrent varicocele and comorbidity of scrotum.

Keywords

• varicocele
• trans-scrotal varicocelectomy
• scrotal access through varicocele
• vesling line