Testicular histology in the adolescent with a varicocele

A varicocele is a common cause of adult male infertility, and surgical ligation is a generally accepted mode of therapy. However, the guidelines for management of the adolescent with a varicocele are not clearly defined. Herein, we describe histologic abnormalities noted on testis biopsy in nine of...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1987-06, Vol.79 (6), p.996-998
Main Authors: KASS, E. J, CHANDRA, R. S, BELMAN, A. B
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Biopsy
Child
Gynecology. Andrology. Obstetrics
Humans
Ligation
Male
Male genital diseases
Medical sciences
Testis - pathology
Tumors
Varicocele - pathology
Varicocele - surgery
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Summary:A varicocele is a common cause of adult male infertility, and surgical ligation is a generally accepted mode of therapy. However, the guidelines for management of the adolescent with a varicocele are not clearly defined. Herein, we describe histologic abnormalities noted on testis biopsy in nine of 24 boys with moderate to large varicoceles. Surgical ligation of the varicocele is recommended when there is volume loss of the testis ipsilateral to the varicocele. All others should be reexamined periodically, and an attempt should be made to obtain a baseline semen analysis.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.79.6.996