Dan Song1, Changhua Wu1, Lei Guo2, Liang Wang1, Jing Li1, Xin Zhang1. 1. Department of Vascular anomalies and Interventional Radiology, Qilu Children's Hospital of Shandong University, Room 23976, Jingshi Road, Jinan City, Shandong prov. China 250022. 2. Department of Vascular anomalies and Interventional Radiology, Qilu Children's Hospital of Shandong University, Room 23976, Jingshi Road, Jinan City, Shandong prov. China 250022. Electronic address: etjrxgl@hotmail.com.
Abstract
OBJECTIVE: To describe the effectiveness and security of DSA-guided percutaneous sclerotherapy for venous malformations of penile region in children. METHODS: A total of 9 cases children with penile venous malformations treated by DSA-guided percutaneous sclerotherapy from January 2017 to June 2018 were enrolled in this study. Local angiography was performed under DSA fluoroscopy, and the shape, extent and venous drainage of the tumor nest were judged. Then sclerosing agents (Pingyangmycin and Polidocanol) were selected according to the flow rate of angiography and treated by percutaneous injection under DSA monitoring. Imaging examination (MRI) was performed to evaluate clinical improvement. RESULTS: A total of 26 interventional sclerotherapy sessions were performed in 9 children, with an average of (2.3±0.5) sessions per case. After a mean follow-up of 7.3 months, 6 cases were cured, and 3 cases were in basic remission. There were 9 cases of temporary edema secondary to the treatment site and 3 cases of mild pain. No serious complications such as ulceration, hemorrhage, infection and dysfunction occurred in any patients. CONCLUSION: DSA-guided percutaneous sclerotherapy for venous malformations of penile region in children is safe and effective, does not affect the appearance and function of penis, and is worthy of clinical promotion. TYPE OF STUDY: Treatment Study. LEVEL OF EVIDENCE: Level IV, Case series with no comparison group.
OBJECTIVE: To describe the effectiveness and security of DSA-guided percutaneous sclerotherapy for venous malformations of penile region in children. METHODS: A total of 9 cases children with penile venous malformations treated by DSA-guided percutaneous sclerotherapy from January 2017 to June 2018 were enrolled in this study. Local angiography was performed under DSA fluoroscopy, and the shape, extent and venous drainage of the tumor nest were judged. Then sclerosing agents (Pingyangmycin and Polidocanol) were selected according to the flow rate of angiography and treated by percutaneous injection under DSA monitoring. Imaging examination (MRI) was performed to evaluate clinical improvement. RESULTS: A total of 26 interventional sclerotherapy sessions were performed in 9 children, with an average of (2.3±0.5) sessions per case. After a mean follow-up of 7.3 months, 6 cases were cured, and 3 cases were in basic remission. There were 9 cases of temporary edema secondary to the treatment site and 3 cases of mild pain. No serious complications such as ulceration, hemorrhage, infection and dysfunction occurred in any patients. CONCLUSION: DSA-guided percutaneous sclerotherapy for venous malformations of penile region in children is safe and effective, does not affect the appearance and function of penis, and is worthy of clinical promotion. TYPE OF STUDY: Treatment Study. LEVEL OF EVIDENCE: Level IV, Case series with no comparison group.