17 year old male with 2 years of worsening bilateral testicular pain. Pain worsened during the daytime and with any strenuous activity. In particular the pain was interfering with high school sports. The patient wanted the procedure with the fastest recovery and best outcomes. Data from patients that I have treated show that in over 95% of patients the varicocele is successfully treated when evaluated by ultrasound at 30 days. In the right hands, varicocele embolization is a superior procedure to surgical varicocelectomy.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.
A faster technique for embolization gonadal veins using large diameter coils