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Repair Versus Observation in Adolescent Varicocele: A Prospective Study

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(01)64403-3

1527-3792

Darius A. Paduch, Jerzy Niedzielski,

Urological Disorders and Treatments

No AccessJournal of UrologyClinical Research1 Sep 1997Repair Versus Observation in Adolescent Varicocele: A Prospective Study Darius A. Paduch and Jerzy Niedzielski Darius A. PaduchDarius A. Paduch and Jerzy NiedzielskiJerzy Niedzielski View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64403-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We designed a randomized prospective study of male adolescents with moderate and severe varicoceles to determine whether prophylactic varicocele repair is beneficial. Materials and Methods: We evaluated 2,100 boys (10 to 20 years old) for genitourinary abnormalities. From this population 2 groups of adolescents 15 to 19 years old with grade 2 or 3 varicoceles were created, including 88 who underwent varicocele repair and 36 controls. Testicular volume and pampiniform vein diameter were measured, and Doppler ultrasound was performed. Results: After 12 months volume of the involved left testis increased to almost normal in treated boys (mean atrophy index 12.7% at surgery and 3% 12 months later). In controls the corresponding atrophy indexes were 10 and 9%, respectively. The relative increase in left testicular volume was 26% in the surgery group and 11% in controls. In the surgery group mean pampiniform vein diameter decreased from 2.8 preoperatively to 2 mm. postoperatively but there was no change in controls. Conclusions: Varicocele repair in adolescents with moderate and severe varicocele reversed testicular growth arrest and resulted in catch-up growth within 12 month of surgery. References 1 : Varicocele related testicular atrophy and its predictive effect upon fertility.. J. Urol.1994; 152: 788. Abstract, Google Scholar 2 : Varicocele: a progressive or static lesion?. Urology1993; 42: 541. Google Scholar 3 : Loss of fertility in men with varicocele.. Fertil. Steril.1993; 59: 613. 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Google Scholar From the Department of Pediatric Surgery, University School of Medicine, Lodz, Poland.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byÇayan S, Şahin S and Akbay E (2017) Paternity Rates and Time to Conception in Adolescents with Varicocele Undergoing Microsurgical Varicocele Repair vs Observation Only: A Single Institution Experience with 408 PatientsJournal of Urology, VOL. 198, NO. 1, (195-201), Online publication date: 1-Jul-2017.Van Batavia J, Fast A, Nees S, Mercado M, Gaselberti A and Glassberg K (2013) Incidence, Significance and Natural History of Persistent Retrograde Venous Flow After Varicocelectomy in Children and Adolescents: Correlation with Catch-up GrowthJournal of Urology, VOL. 190, NO. 2, (689-695), Online publication date: 1-Aug-2013.Canning D (2013) Re: Is the Comparison of a Left Varicocele Testis to its Contralateral Normal Testis Sufficient in Determining its Well-Being?Journal of Urology, VOL. 190, NO. 1, (263-263), Online publication date: 1-Jul-2013.Spinelli C, Di Giacomo M, Lo Piccolo R, Martin A and Messineo A (2010) The Role of Testicular Volume in Adolescents With Varicocele: The Better Way and Time of Surgical TreatmentJournal of Urology, VOL. 184, NO. 4S, (1722-1726), Online publication date: 1-Oct-2010.Van Batavia J, Woldu S, Raimondi P, Spencer B, Insel B, Poon S and Glassberg K (2010) Adolescent Varicocele: Influence of Tanner Stage at Presentation on the Presence, Development, Worsening and/or Improvement of Testicular Hypotrophy Without Surgical InterventionJournal of Urology, VOL. 184, NO. 4S, (1727-1732), Online publication date: 1-Oct-2010.DeCastro G, Shabsigh A, Poon S, Laor L and Glassberg K (2008) Adolescent Varicocelectomy—Is the Potential for Catch-Up Growth Related to Age and/or Tanner Stage?Journal of Urology, VOL. 181, NO. 1, (322-327), Online publication date: 1-Jan-2009.Zampieri N and Cervellione R (2008) Varicocele in Adolescents: A 6-Year Longitudinal and Followup Observational StudyJournal of Urology, VOL. 180, NO. 4S, (1653-1656), Online publication date: 1-Oct-2008.Hassan J, Adams M, Pope J, Demarco R and Brock J (2018) Hydrocele Formation Following Laparoscopic VaricocelectomyJournal of Urology, VOL. 175, NO. 3, (1076-1079), Online publication date: 1-Mar-2006.DIAMOND D, ZURAKOWSKI D, ATALA A, BAUER S, BORER J, CILENTO B, PALTIEL H, PETERS C and RETIK A (2018) IS ADOLESCENT VARICOCELE A PROGRESSIVE DISEASE PROCESS?Journal of Urology, VOL. 172, NO. 4 Part 2, (1746-1748), Online publication date: 1-Oct-2004.RUBENSTEIN R, DOGRA V, SEFTEL A and RESNICK M (2018) Benign Intrascrotal LesionsJournal of Urology, VOL. 171, NO. 5, (1765-1772), Online publication date: 1-May-2004.SHUKLA A, WOODARD C, CARR M, HUFF D, CANNING D, ZDERIC S, KOLON T and SNYDER H (2018) Experience With Testis Sparing Surgery for Testicular TeratomaJournal of Urology, VOL. 171, NO. 1, (161-163), Online publication date: 1-Jan-2004.Thomas J and Elder J (2018) Testicular Growth Arrest and Adolescent Varicocele: Does Varicocele Size Make a Difference?Journal of Urology, VOL. 168, NO. 4 Part 2, (1689-1691), Online publication date: 1-Oct-2002.Greenfield S, Seville P and Wan J (2018) Experience with Varicoceles in Children and Young AdultsJournal of Urology, VOL. 168, NO. 4 Part 2, (1684-1688), Online publication date: 1-Oct-2002.Çayan S, Akbay E, Bozlu M, Doruk E, Erdem E, Acar D and Ulusoy E (2018) The Effect of Varicocele Repair on Testicular Volume in Children And Adolescents With VaricoceleJournal of Urology, VOL. 168, NO. 2, (731-734), Online publication date: 1-Aug-2002.MAZZONI G, SPAGNOLI A, LUCCHETTI M, VILLA M, CAPITANUCCI M and FERRO F (2018) ADOLESCENT VARICOCELE: TAUBER ANTEGRADE SCLEROTHERAPY VERSUS PALOMO REPAIRJournal of Urology, VOL. 166, NO. 4, (1462-1464), Online publication date: 1-Oct-2001.NIEDZIELSKI J and PADUCH D (2018) RECURRENCE OF VARICOCELE AFTER HIGH RETROPERITONEAL REPAIR: IMPLICATIONS OF INTRAOPERATIVE VENOGRAPHYJournal of Urology, VOL. 165, NO. 3, (937-940), Online publication date: 1-Mar-2001. Volume 158Issue 3September 1997Page: 1128-1132 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Darius A. Paduch More articles by this author Jerzy Niedzielski More articles by this author Expand All Advertisement PDF downloadLoading ...