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ADOLESCENT VARICOCELE: TAUBER ANTEGRADE SCLEROTHERAPY VERSUS PALOMO REPAIR

2001; Lippincott Williams & Wilkins; Volume: 166; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(05)65810-7

1527-3792

G Mazzoni, Alessandra Spagnoli, Maria Chiara Lucchetti, M. Trassierra Villa, Maria Luisa Capitanucci, Fabio Ferro,

Testicular diseases and treatments

No AccessJournal of UrologyPEDIATRIC UROLOGY: Papers Presented at Fall 2000 Meeting of Section on Urology, American Academy of pediatrics1 Oct 2001ADOLESCENT VARICOCELE: TAUBER ANTEGRADE SCLEROTHERAPY VERSUS PALOMO REPAIR G. MAZZONI, A. SPAGNOLI, M.C. LUCCHETTI, M. VILLA, M.L. CAPITANUCCI, and F. FERRO G. MAZZONIG. MAZZONI , A. SPAGNOLIA. SPAGNOLI , M.C. LUCCHETTIM.C. LUCCHETTI , M. VILLAM. VILLA , M.L. CAPITANUCCIM.L. CAPITANUCCI , and F. FERROF. FERRO View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65810-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: There is general agreement on treatment for varicocele in pediatric patients. Randomized prospective studies have shown that anatomical and functional lesions may be corrected. Due to the impossibility of seminal examination patients with moderate to large varicocele or ipsilateral testicular hypertrophy, characterized by a change in testicular consistency or symptoms, should undergo surgical correction. The best therapeutic approach is still under discussion. Materials and Methods: At 2 centers 2 therapeutic approaches to varicocele treatment in pediatric patients were compared, namely the Palomo repair and antegrade sclerotherapy according to Tauber. The 89 patients from the same geographical area elected 1 procedure after an explanation. From the medical records we retrospectively evaluated operative time, postoperative analgesics, postoperative fever onset, complications, convalescence, recurrence and postoperative hydrocele. Results: After Palomo repair in 45 patients there were 2 recurrences (4.4%) and 2 postoperative hydroceles (4.4%). Of 44 antegrade sclerotherapy cases 1 was converted to Palomo repair, there was no hydrocele formation and recurrence developed in 2 (4.5%). Testicular atrophy was not observed in any patient regardless of the method used. The cost of the procedure was lower in the sclerotherapy group. Conclusions: These data suggest that the failure rate was similar in both groups. The principal advantages of sclerotherapy are simplicity, decreased cost and lack of hydrocele formation. References 1 : Varicocele in children. Preliminary report of a different surgical method. Pediatr Surg Int1995; 10: 513. Google Scholar 2 : The chance for fertility in adolescent boys after corrective surgery for varicocele. J Urol part 21995; 154: 731. Link, Google Scholar 3 : Correlation of testicular volume, histology and LHRH test in adolescents with idiopathic varicocele. Eur Urol1994; 26: 61. Google Scholar 4 : Varicocele treatment in pubertal boys prevents testicular growth arrest. J Urol1997; 157: 1456. 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Google Scholar From the Pediatric Surgery Unit, San Camillo De Lellis Hospital and Andrological Surgery Unit, Bambino Gesù Children's Hospital, Rome, Italy© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byThaker H (2023) Laparoscopic vs Sclerotherapy for Varicoceles: Who Prevails?Journal of Urology, VOL. 209, NO. 3, (469-470), Online publication date: 1-Mar-2023.Chung K, Hung J, Yam F, Chao N, Li D and Leung M (2022) Prospective Randomized Controlled Trial Comparing Laparoscopic Palomo Surgery vs Scrotal Antegrade Sclerotherapy in Adolescent VaricoceleJournal of Urology, VOL. 209, NO. 3, (600-610), Online publication date: 1-Mar-2023.Galfano A, Novara G, Iafrate M, Fracalanza S, Novella G, Cavalleri S, Artibani W and Ficarra V (2008) Surgical Outcomes After Modified Antegrade Scrotal Sclerotherapy: A Prospective Analysis of 700 Consecutive Patients With Idiopathic VaricoceleJournal of Urology, VOL. 179, NO. 5, (1933-1937), Online publication date: 1-May-2008. Volume 166Issue 4October 2001Page: 1462-1464 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.KeywordstestissclerotherapyvaricoceleMetrics Author Information G. MAZZONI More articles by this author A. SPAGNOLI More articles by this author M.C. LUCCHETTI More articles by this author M. VILLA More articles by this author M.L. CAPITANUCCI More articles by this author F. FERRO More articles by this author Expand All Advertisement PDF downloadLoading ...