1Department of Urology, the Third Affiliated Hospital of Guangzhou
medical College, Guangzhou 510150, Guangdong Province, China;
2Department of Urology, the First Affiliated Hospital of Jinan
University, Guangzhou 510630, Guangdong Province, China
Objective: To explore the outcome of a shunt from Left vena
spermatica interna to inferior epigastric vein in the treatment of
patients with nutcracker syndrome with severe varicocele.
Methods: Five patients with nutcracker syndrome with severe
varicocele were identified from July 2006 to June 2011. The
definite diagnosis were made by color Doppler flow imaging,
computed tomography, or magnetic resonance imaging.
They underwent varicocelectory and a shunt from Left vena
spermatica interna to inferior epigastric vein. The post-operative
outcomes were analyzed.
Results: All procedures were performed successfully. No post-operative complications including wound infection,
vascular occlusion, and phlebothrombosis occurred. Varicocele
disappeared in 4 cases and was improved in one case during
Conclusions: Varicocelectory and a shunt from Left vena
spermatica interna to inferior epigastric vein is a easy, safe and
effective method for the treatment of nutcracker syndrome with
Shunt from left vena spermatica interna to inferior
epigastric vein; nutcracker syndrome; varicocele