A STUDY ON VARICOCELE
1967 Volume 58 Issue 11 Pages 1105-1114
Details
1967 Volume 58 Issue 11 Pages 1105-1114
Clinical observations have been given on 181 cases of idiopathic varicocele for the past three years, together with pathohistological study on the veins of the pompiniform plexus and the examination on congestion.
1. To reach the diagnosis and express the degree of lesion, a device has been contrived so as to indicate objectively the localization of varicocele in the testicle in the erect position by the comparative height of lesion, and lesional degrees are set up as I, II, and III.
2. Patients' chief complaints have been classified into four steps, ranging from those which come directly from varicocele to those which have nothing to do with it. Thus it has been clarified that what had formerly been regarded as psychoneurotic chief complaints are caused by some organic changes of the already complicated part which is related to the urethra or others associated with micturition
3. As for the indication for surgery, degree III is good, degree II is relatively good, and degree I is not.
4. Y-G test has found that the average type occupies the majority, suggesting to exclude psychoneurotic factor.
5. On the pathohistological examination of 73 normal autopsies from 146 sides in the veins of the pampiniform plexus, those who were above 50 years old showed senile changes in their veins and arteries. Two cases, 6 and 20 years old, revealed vascular sclerosis, which finding has been proved to follow from the latent varicoceles in their arteries, and this directly caused ischemia in the testis.
6. Biopsical findings of varicocele showed the thick wall, the dilatation of the lumen, the tortuosity and elongation of the vein.
7. Examinations of blood circulation by means of 131I in the veins of the pampiniform disclosed that higher degree of congestion was seen in varicocele patients than in normal persons.
