Microscopic subinguinal varicocelectomy in 100 consecutive cases: Spermatic cord vascular anatomy, recurrence and hydrocele outcome analysis

Peer review under responsibility of Arab Association of Urology.

Figures & data

Fig. 1 Spermatic cord exposure using two penrose drains.

Fig. 2 Figure showing inguinal vein.

Fig. 3 Figure showing gubernacular vein.

Table 1 Vessels detected during microscopic subinguinal varicocelectomy.

Type and number of vessels	Left varicocelectomy	Right varicocelectomy
Mean (range):
Number of external spermatic veins	1.2 (1–4)	1 (1–3)
Number of internal spermatic veins	14 (3–38)	14 (4–24)
Number of large internal spermatic veins (i.e. >2 mm)	3 (1–7)	2 (1–8)
Number of testicular arteries	1.3 (1–3)	1.3 (1–3)
Number of lymphatics	3 (1–9)	3 (1–9)
Number of cremasteric veins	1.4 (1–7)	1.2 (1–2)
Number of gubernacular veins, mean	1.2 – noted in 75%	1 – noted in 85%
Number of inguinal veins	0–2	0