Ureteritis Following Retrograde Varicocele Sclerotherapy: An Unedited Complication

To date, sclerotherapy may be considered a valid alternative to sur gery in treating male varicocele. Post-procedural pain is common ly associated with the sclerosing agent’s inflammatory action but subsides with appropriate conservative management. We report the cases of two patients undergoing retrograde sclerotherapy with rapid onset of abdominal/lumbar/scrotal pain and macrohematuria. Computer tomography documented homolateral hydronephro sis and diffuse left ureteral wall thickening and enhancement; a careful review of phlebography images before the injection of the sclerosing agent showed veno-venous shunts between the left in ternal spermatic vein and ureteral veins confirming the hypothesis of periureteral thrombophlebitis. Such a condition, not previously described in the literature, requires appropriate medical treatment and, sometimes, temporary placement of a DJ ureteral stent