The dilemma of adolescent varicocele

Adolescent varicocele is associated with ipsilateral testicular hypotrophy and the concern for future infertility. A testicular size discrepancy greater than 15–20 % between left and right testicle is an indication for treatment to allow catch-up growth in the hope of preventing a future decline in...

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Bibliographic Details
Published in:Pediatric surgery international 2015-07, Vol.31 (7), p.617-625
Main Authors: Garcia-Roig, Michael L., Kirsch, Andrew J.
Format: Article
Language:English
Subjects:
Adolescent
Humans
Male
Medicine
Medicine & Public Health
Organ Size
Pediatric Surgery
Pediatrics
Review Article
Scrotum - pathology
Surgery
Testis - pathology
Varicocele - diagnosis
Varicocele - pathology
Varicocele - therapy
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Summary:Adolescent varicocele is associated with ipsilateral testicular hypotrophy and the concern for future infertility. A testicular size discrepancy greater than 15–20 % between left and right testicle is an indication for treatment to allow catch-up growth in the hope of preventing a future decline in fertility. Some authors advocate for a period of watchful waiting, as normal testicular growth may occur asymmetrically. We review the current literature to highlight some controversies and challenges in management.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-015-3698-8