Document Detail

Testicular vein syndrome and its treatment with a laparoscopic approach.
MedLine Citation:
PMID:  22643523     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: Testicular vein syndrome (TVS) is a rare cause of ureteral obstruction. Only 5 previous cases are on record in the literature, and no review exists on this topic to date. Laparoscopic treatment has never been mentioned in the management of TVS.
MATERIALS AND METHODS: We reviewed the literature related to this unusual entity to clarify the preoperative evaluation and the management of TVS. For this purpose, the data related to all the 5 cases previously reported so far in the English literature have been reviewed. Also, we report the sixth case of TVS, and the first patient to be successfully treated with the laparoscopic approach. This was a 37-year-old male with a 6-month history of left loin pain. Preoperative diagnosis was confirmed by CT-Urography.
RESULTS: Our patient underwent laparoscopic excision of the left testicular vein followed by ureteroureterostomy in a single sitting. The laparoscopic transperitoneal approach was used. Histopathological examination of the vein showed normal venous tissue. This is the sixth reported case of TVS and the first to be successfully treated with a laparoscopic technique.
CONCLUSIONS: A laparoscopic approach is safe and effective for treating patients with TVS with the common advantages of minimal invasiveness and better visualization of the complex anatomy of the retroperitoneum. Thus, it should be the treatment of choice for TVS.
Nand Kishore Arvind; Onkar Singh; Shilpi Singh Gupta
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons     Volume:  15     ISSN:  1086-8089     ISO Abbreviation:  JSLS     Publication Date:    2011 Oct-Dec
Date Detail:
Created Date:  2012-05-30     Completed Date:  2012-08-14     Revised Date:  2013-06-24    
Medline Journal Info:
Nlm Unique ID:  100884618     Medline TA:  JSLS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  580-4     Citation Subset:  IM    
Department of Urology, Bhopal Memorial Hospital & Research Centre, Bhopal, India.
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MeSH Terms
Diagnosis, Differential
Laparoscopy / methods*
Testis / blood supply*
Ureteral Obstruction / diagnosis,  etiology*,  surgery*
Veins / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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