A case of successful fertility of a patient with bilateral varicocele on the background of May–Thurner syndrome by combining transscrotal varicocelectomy with X-ray endovascular correction of iliac vessel compression

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Abstract

Arteriovenous conflicts of the ileocecal segment are a frequent cause of recurrent and bilateral varicocele. Insufficient and untimely diagnosis of varicocele causes in this group of patients leads to multiple repeated surgical interventions due to recurrence. This paper presents a clinical case of successful fertility of a 30-year-old patient with bilateral varicocele and testicular hypotrophy on the background of Mey–Thurner syndrome by two-stage surgical treatment including transsclerotal ligation of testicular veins, angioplasty and stenting of the left common iliac vein.

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About the authors

Gebek G. Abuev

State Research Center of Russian Federation – Burnasyan Federal Medical Biophysical Center

Author for correspondence.
Email: abuev.urology@gmail.com
ORCID iD: 0000-0001-7749-0560
SPIN-code: 9547-5072

postgraduate student, Department urology and andrology

Russian Federation, Moscow

Pavel S. Kyzlasov

State Research Center of Russian Federation – Burnasyan Federal Medical Biophysical Center

Email: dr.kyzlasov@mail.ru
ORCID iD: 0000-0003-1050-6198
SPIN-code: 6806-7913
Scopus Author ID: 57196124148
https://fmbafmbc.ru/centers/urology/

MD, Dr. Sci. (Med.), professor of Department of urology and andrology

Russian Federation, Moscow

Aleksandr А. Kapto

Center for Medical and Corporate Training; Peoples’ friendship university of Russia; SM-Klinika

Email: alexander_kapto@mail.ru
ORCID iD: 0000-0002-2099-6621
SPIN-code: 3912-5830

MD, Cand. Sci. (Med.), head of the Department of urology, assistant professor of the Department of urology with courses in oncology, radiology and andrology, urologist-andrologist

Russian Federation, Moscow; Moscow; Moscow

Aleksey S. Pankov

Center for Medical and Corporate Training; Clinical Hospital No. 1 of the Administration of the President of the Russian Federation

Email: pancaver2004@mail.ru
ORCID iD: 0000-0001-8616-0678
SPIN-code: 4830-3377

MD, Cand. Sci. (Med.), surgeon, Department of X-ray surgical methods of diagnosis and treatment, assistant professor, Department of urology

Russian Federation, Moscow; Moscow

Ali T. Mustafayev

State Research Center of Russian Federation – Burnasyan Federal Medical Biophysical Center

Email: dr.mustafayevat@gmail.com
ORCID iD: 0000-0002-2422-7942
SPIN-code: 5422-8789

assistant lecturer, Department urology and andrology

Russian Federation, Moscow

References

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  13. Patent RU № 2756019 C1/ 24.09.2021. Kyzlasov PS, Kazhera AA, Mustafaev AT. Maloinvazivnyi metod khirurgicheskogo lecheniya varikotsele. Available at: https://patenton.ru/patent/RU2756019C1?ysclid=ln08ht88yd581253862 (In Russ.)
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Supplementary files

Supplementary Files
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2. Fig. 1. Magnetic resonance imaging. Dilatated paraprostatic plexus veins

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3. Fig. 2. Magnetic resonance imaging. Reduced LLLA (a) and IVTD scores (b)

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4. Fig. 3. Magnetic resonance imaging. AMA (a) and AMD scores (b)

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