[Causes of varicocele recurrence after Ivanissevich's operation].

The relapse of varicocele occurring after the most radical operative intervention performed with the use of Ivanissevich's technique and its possible cause were studied. For this 22 patients developing a relapse of left-sided varicocele were examined and operated on. Vascular investigation was found to be of great aid in identifying the types and variants of testicular vein structure and the case of operation failure. Intact medial and sometimes lateral trunks of crumble-structure testicular vein or erroneous cut of vein in fat tissue of sigmoid colon performed instead of testicular vein cutting was stated as the main cause of varicocele relapses and disease progression. Thus it is stated that the cutting of all the trunks of testicular vein is necessary for relapse prevention and the method of treatment by Ivanissevich be regarded as pathogenetically substantiated one.