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

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 MeyThurner syndrome by two-stage surgical treatment including transsclerotal ligation of testicular veins, angioplasty and stenting of the left common iliac vein.