[61] Surgical management of pain as a complication of radio-embolisation of varicocoele

Objective: To present our experience of surgical management of pain as a complication of radio-embolisation of varicocoele. The indication to treat a painful varicocele is well established; however, the approach of treatment whether surgical or radiological remains controversial. The use of material...

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Autores principales:	Abdalla Alhammadi, William Akakpo, Abdulmajeed Althobity, Sebastien Beley
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/f49d96348d55479ebef00909870252c1
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spelling	oai:doaj.org-article:f49d96348d55479ebef00909870252c12021-12-02T13:03:32Z[61] Surgical management of pain as a complication of radio-embolisation of varicocoele2090-598X10.1016/j.aju.2018.10.014https://doaj.org/article/f49d96348d55479ebef00909870252c12018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301086https://doaj.org/toc/2090-598XObjective: To present our experience of surgical management of pain as a complication of radio-embolisation of varicocoele. The indication to treat a painful varicocele is well established; however, the approach of treatment whether surgical or radiological remains controversial. The use of materials such as coils during radio-embolisation may lead to exacerbation of pain, which might require surgical removal of the endovascular material. Methods: All patients between March 2016 and February 2017, who experienced painful exacerbation after radio-embolisation of a varicocoele, were included in this retrospective single-centre study. Ultrasonography was performed to exclude recurrence or other aetiology. A transperitoneal laparoscopic surgical procedure allowed removal of embolisation material and gonadal vein after ligation between the internal inguinal ring and its distal end on the renal vein or inferior vena cava. Results: Three patients were operated upon using this technique. Two patients had unilateral left and one bilateral varicocoeles with radio-embolisation. No intraoperative complications were identified. The intervention reduced the pain allowing early recovery and continuation of usual daily activities. Conclusion: The exacerbation of pain in a varicocoele after radio-embolisation is a rare complication but has significant consequences on patient quality of life and thus requires appropriate care. Removal of the material laparoscopically seems a method of choice. The elimination of other painful causes before any surgical management remains essential.Abdalla AlhammadiWilliam AkakpoAbdulmajeed AlthobitySebastien BeleyTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S30- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Abdalla Alhammadi William Akakpo Abdulmajeed Althobity Sebastien Beley [61] Surgical management of pain as a complication of radio-embolisation of varicocoele
description	Objective: To present our experience of surgical management of pain as a complication of radio-embolisation of varicocoele. The indication to treat a painful varicocele is well established; however, the approach of treatment whether surgical or radiological remains controversial. The use of materials such as coils during radio-embolisation may lead to exacerbation of pain, which might require surgical removal of the endovascular material. Methods: All patients between March 2016 and February 2017, who experienced painful exacerbation after radio-embolisation of a varicocoele, were included in this retrospective single-centre study. Ultrasonography was performed to exclude recurrence or other aetiology. A transperitoneal laparoscopic surgical procedure allowed removal of embolisation material and gonadal vein after ligation between the internal inguinal ring and its distal end on the renal vein or inferior vena cava. Results: Three patients were operated upon using this technique. Two patients had unilateral left and one bilateral varicocoeles with radio-embolisation. No intraoperative complications were identified. The intervention reduced the pain allowing early recovery and continuation of usual daily activities. Conclusion: The exacerbation of pain in a varicocoele after radio-embolisation is a rare complication but has significant consequences on patient quality of life and thus requires appropriate care. Removal of the material laparoscopically seems a method of choice. The elimination of other painful causes before any surgical management remains essential.
format	article
author	Abdalla Alhammadi William Akakpo Abdulmajeed Althobity Sebastien Beley
author_facet	Abdalla Alhammadi William Akakpo Abdulmajeed Althobity Sebastien Beley
author_sort	Abdalla Alhammadi
title	[61] Surgical management of pain as a complication of radio-embolisation of varicocoele
title_short	[61] Surgical management of pain as a complication of radio-embolisation of varicocoele
title_full	[61] Surgical management of pain as a complication of radio-embolisation of varicocoele
title_fullStr	[61] Surgical management of pain as a complication of radio-embolisation of varicocoele
title_full_unstemmed	[61] Surgical management of pain as a complication of radio-embolisation of varicocoele
title_sort	[61] surgical management of pain as a complication of radio-embolisation of varicocoele
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/f49d96348d55479ebef00909870252c1
work_keys_str_mv	AT abdallaalhammadi 61surgicalmanagementofpainasacomplicationofradioembolisationofvaricocoele AT williamakakpo 61surgicalmanagementofpainasacomplicationofradioembolisationofvaricocoele AT abdulmajeedalthobity 61surgicalmanagementofpainasacomplicationofradioembolisationofvaricocoele AT sebastienbeley 61surgicalmanagementofpainasacomplicationofradioembolisationofvaricocoele
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[61] Surgical management of pain as a complication of radio-embolisation of varicocoele

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