Can preoperative administration of isosulfan blue improve outcomes of subinguinal varicocelectomy?
R Dale McClure
Correspondence Virginia Mason Medical Center, Male Infertility and Microsurgical Unit, 1100 Ninth Avenue, Seattle, WA 98111, USA
Email r.dale.mcclure@vmmc.org
This article has no abstract so we have provided the first paragraph of the full text.
Varicocelectomy is one of the most common surgical treatments for male-factor infertility. The conventional techniques of varicocele repair have been associated with substantial risks of hydrocele formation, ligation of the testicular artery, and varicocele recurrence. The Male Infertility Best Practice Policy Committee of the American Urological Association1 noted that most experts perform either an inguinal or subinguinal varicocelectomy with optical magnification. At present, these are the gold-standard treatments. Although Schwentner et al. mention that subinguinal varicocelectomy was first described by Goldstein et al. in 1992, it was actually first reported by Marmar and colleagues in 1985.2 Both these groups3, 4 have emphasized that microscopic magnification helps preserve the spermatic arteries and lymphatics, and subsequently decreases varicocele recurrence, testicular atrophy, and hydrocele formation.
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