Produção Nacional
Revisado por pares
Surgical Treatment of Varicocele in Children With Open and Laparoscopic Palomo Technique: A Systematic Review of the Literature
2009; Lippincott Williams & Wilkins; Volume: 181; Issue: 6 Linguagem: Inglês
10.1016/j.juro.2009.02.041
ISSN1527-3792
AutoresUbirajara Barroso, Dennyson M. Andrade, Hugo Novaes, José Murillo Bastos Netto, Juarez Andrade,
Tópico(s)Male Reproductive Health Studies
ResumoNo AccessJournal of UrologyPediatric Urology1 Jun 2009Surgical Treatment of Varicocele in Children With Open and Laparoscopic Palomo Technique: A Systematic Review of the Literatureis accompanied byAdolescent Versus Adult Varicoceles—How Do Evaluation and Management Differ? Ubirajara Barroso, Dennyson M. Andrade, Hugo Novaes, José Murillo B. Netto, and Juarez Andrade Ubirajara BarrosoUbirajara Barroso , Dennyson M. AndradeDennyson M. Andrade , Hugo NovaesHugo Novaes , José Murillo B. NettoJosé Murillo B. Netto , and Juarez AndradeJuarez Andrade View All Author Informationhttps://doi.org/10.1016/j.juro.2009.02.041AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We systematically reviewed the results of varicocelectomy by Palomo procedure in children and adolescents. Materials and Methods: We performed a search of the English literature through the MEDLINE® database and the Cochrane Central Search library. The key words used were "varicocele and children" and "varicocele and adolescents." Of 264 articles published with data on varicocele surgery in children and adolescents 27 concerned the classic Palomo procedure and 20 dealt with the modified Palomo technique, in which the testicular artery was spared. Laparoscopic Palomo varicocelectomy was compared with the open Palomo technique. Results: Totals of 1,344 and 496 patients were treated with the laparoscopic and open Palomo techniques, respectively. The rates of hydrocele in the open and laparoscopic groups were 9.7% and 6.9%, respectively (p = 0.81). The rate of recurrence was 2.9% in the open group and 4.4% in the laparoscopic group (p = 0.146). A modified Palomo procedure was used in 715 operations and the classic technique in 1,454. Hydrocele was diagnosed in 3.2% of patients in the modified group and 7.7% in the classic group (p <0.001). Varicocele recurred in 4.2% of patients undergoing the modified procedure and 3.4% of those undergoing the classic procedure (p = 0.506). Mean ± SD testicular catch-up growth was 54.7% ± 38.9% in the modified group and 66.7% ± 19.9% in the classic group (p = 0.584). Three studies documented improvement of the quality of semen examination postoperatively compared to a control group of uncorrected cases. No study evaluated the rate of fertility after varicocelectomy. Conclusions: The rate of hydrocele is high with the classic Palomo technique and less with the modified technique. The rate of varicocele recurrence is around 3% to 4% with both procedures. The percentage of testicular catch-up growth is variable. References 1 : Adolescent varicocele: objective indications for treatment. J Urol1989; 142: 579. 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J Androl1994; 15: 43S. Google Scholar 16 : Laparoscopic surgery for pediatric varicocele: randomized controlled trial. J Pediatr Surg2002; 37: 727. Google Scholar Urology Department, Section of Pediatric Urology, Federal University of Bahia, Bahiana School of Medicine, São Rafael Hospital and Roberto Santos Hospital, Salvador, Bahia and Department of Morphology, Federal University of Juiz de Fora and Department of Urology, Faculdade de Ciências Médicas e da Saúde, SUPREMA, Minas Gerais, Brazil© 2009 by American Urological AssociationFiguresReferencesRelatedDetailsCited byBraga L, Pemberton J, DeMaria J and Lorenzo A (2018) Methodological Concerns and Quality Appraisal of Contemporary Systematic Reviews and Meta-Analyses in Pediatric UrologyJournal of Urology, VOL. 186, NO. 1, (266-272), Online publication date: 1-Jul-2011.Related articlesJournal of Urology15 Apr 2009Adolescent Versus Adult Varicoceles—How Do Evaluation and Management Differ? Volume 181Issue 6June 2009Page: 2724-2728 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordsurologic surgical proceduresmalechildtesticular hydroceleadolescentvaricoceleMetricsAuthor Information Ubirajara Barroso More articles by this author Dennyson M. Andrade More articles by this author Hugo Novaes More articles by this author José Murillo B. Netto More articles by this author Juarez Andrade More articles by this author Expand All Advertisement PDF downloadLoading ...
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