How to treat spermatic cord injury?
summary
Varicocele refers to men's varicocele venous return obstruction, resulting in valve loss of original function, blood stasis due to blood reflux, resulting in the expansion, elongation and bending of the tendril venous plexus. Most doctors believe that varicocele seriously affects sperm production and semen quality, resulting in infertility. The disease is more common in young men, young people are relatively less, how to treat spermatic cord injury? Now let me tell you something.
How to treat spermatic cord injury?
High ligation of spermatic vein through iliac fossa retroperitoneum: it is divided into two kinds: preserving testicular artery and ligating all spermatic cord by PalmO operation. The former is to preserve the testicular artery, the chance of spermatogenesis recovery after operation is increased. The latter is relatively simple and does not need to identify spermatic artery and vein.
Inguinal approach surgery: the traditional inguinal varicocele ligation has a high recurrence rate, and the possibility of testicular artery injury is also relatively large. In recent years, the spermatic cord fascia was opened under the microscope, the testicular artery, lymphatic vessel, vas deferens and their blood vessels were preserved, and all the veins with diameter more than 1 mm in the spermatic cord were ligated. The postoperative recurrence rate was only 0.6%.
Interventional therapy: some doctors insert the catheter into the left internal spermatic vein through inferior vena cava and left renal vein, and then inject 5% sodium morrhuate or gelatin sponge to embolize the vein and treat varicocele. This method has great limitations and is not easy to promote.
matters needing attention
Varicocele is a more common disease in men, which is related to infection and irregular life of men. In addition, it has a certain relationship with heredity. It not only affects the fertility of men, but also easily causes disease progression, causing other tissue and organ lesions.
