Comment by raffael_de
2 days ago
Based on the simplified sketches and reasoning I'd assume that it made more sense to sclerose the two small vein sections connecting the testicles with the prostate. Does somebody know why that's not the suggested option?
I am an interventional radiologist. I’ve done procedures to embolize the prostate (helps shrink it), and gonadal vein embolization (for varices).
The gonadal veins are in a different vascular territory from the prostate. The prostates vascular territory is the anterior division of the internal iliac. The gonadal veins arise directly from the inferior vena cava.
I had not come across this research before it’s interesting because as mentioned above, these organs are in different vascular territories but when venous structures begin to reflux the blood may find other collateral routes through other territories.
I skeptical that this works, but it is really interesting.
Based on the proposed mechanism, that would still leave the testicles with low oxygenation blood.
That makes sense to me too. Why wouldn't that be an option or is not really just a small vein between the two, but a bunch of "blood vessels"?