Radiation Exposure and Surgical Outcomes after Antegrade Sclerotherapy for the Treatment of Varicocele in the Paediatric Population: A Single Centre Experience.
Tauber procedure
antegrade sclerotherapy
fluoroscopy
male infertility
paediatric varicocele
radiation exposure
varicocele
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
18 Jan 2023
18 Jan 2023
Historique:
received:
25
10
2022
revised:
04
01
2023
accepted:
07
01
2023
entrez:
11
2
2023
pubmed:
12
2
2023
medline:
12
2
2023
Statut:
epublish
Résumé
Antegrade sclerotherapy (Tauber) effectively treats varicocele. However, fluoroscopy exposes young males to ionizing radiation. We aimed to evaluate radiation exposure and surgical outcomes after the Tauber procedure. We retrospectively analysed data from 251 patients. Dose area product (DAP) and fluoroscopy time were recorded. The effective dose was calculated with the PCXMC software. Descriptive statistics and linear regression tested the association between clinical predictors and radiation exposure. Median (IQR) age and body mass index (BMI) were 14 (13-16) years and 20.1 (17.9-21.6) kg/m². Five (2.1%) patients developed clinical recurrence and two (0.81%) developed complications. Median fluoroscopy time and DAP were 38.5 (27.7-54.0) s and 89.6 (62.5-143.9) cGy*cm The Tauber procedure is safe and associated with low effective doses. Operative time and the patient's BMI independently predict a higher radiation dose.
Identifiants
pubmed: 36769404
pii: jcm12030755
doi: 10.3390/jcm12030755
pmc: PMC9917517
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Urol. 1994 Aug;152(2 Pt 2):788-90
pubmed: 8022015
Andrology. 2022 May;10(4):694-701
pubmed: 35179316
PLoS One. 2013 Jul 29;8(7):e69927
pubmed: 23922858
Andrologia. 2022 Sep;54(8):e14510
pubmed: 35750057
Int Urol Nephrol. 2016 Sep;48(9):1395-9
pubmed: 27363981
Lancet. 2004 Jan 31;363(9406):345-51
pubmed: 15070562
Fertil Steril. 1992 Jun;57(6):1289-93
pubmed: 1601152
Genet Mol Res. 2016 Mar 22;15(1):
pubmed: 27050976
J Radiol Prot. 2016 Dec;36(4):975-990
pubmed: 27893456
Eur J Radiol. 2005 Jan;53(1):46-56
pubmed: 15607852
Fertil Steril. 1992 Oct;58(4):756-62
pubmed: 1426322
Urology. 2012 Jun;79(6):1340-5
pubmed: 22516359
J Pediatr Surg. 2011 Mar;46(3):525-9
pubmed: 21376204
BJU Int. 2006 Oct;98(4):861-5
pubmed: 16978286
Cochrane Database Syst Rev. 2021 Apr 23;4:CD000479
pubmed: 33890288
J Urol. 1989 Apr;141(4):913-5
pubmed: 2926889
Environ Res. 2014 Jul;132:297-304
pubmed: 24834825
World J Mens Health. 2023 Jan;41(1):164-197
pubmed: 35791302
BJU Int. 2000 Sep;86(4):490-3
pubmed: 10971279
J Pediatr Urol. 2022 Apr;18(2):113.e1-113.e6
pubmed: 35074274
Eur Urol. 2021 Nov;80(5):603-620
pubmed: 34511305
Fertil Steril. 2014 Aug;102(2):381-387.e6
pubmed: 24907913
J Urol. 1994 Feb;151(2):386-90
pubmed: 8283530
Eur Urol. 2019 Mar;75(3):448-461
pubmed: 30316583
J Laparoendosc Adv Surg Tech A. 2007 Jun;17(3):360-3
pubmed: 17570789
Asian J Androl. 2015 Jan-Feb;17(1):74-80
pubmed: 25248652