Recurrent Varicocele Associated With Congestion Pelvic Syndrome

Left Renal Vein compression, entitled as Nutcracker Syndrome, usually is described as cause of Pelvic Congestion once thedifficult of drainage of the left kidney deviate vein flow to Gonadal vein developing Pelvic varices in women, and Varicocele inmen. Recurrence of Varicocele is described to be between 1 to 35%, dependent on the surgical technique used to repair it. Amongthe cause of recurrent varicocele, include surgical technique failure, low Body Mass Index, venous plexus variation (persistenceof branched spermatic veins), and venous compression. In this study, the authors present 2 cases of recurrent varicocele in youngmen caused by pelvic congestion due to the Left Renal Vein (LRV) and Left Common Iliac Vein (LCIV) compression, treated byendovascular techniques with good results. In the Literature there are few papers relating the association of both syndromes.Authors discuss of the association of recurrent varicocele and pelvic congestion, and also suggest a routine investigation of it inthis recurrence.