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Management of adolescent varicocele
- Source :
- Seminars in Pediatric Surgery. 30:151084
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Varicocele is defined as an abnormal dilation and tortuosity of the internal spermatic veins found within the pampiniform plexus. It is a common finding in adolescents and adult men alike, however its diagnosis in the adolescent population poses different dilemmas in regard to indications for treatment than in adults. Failed Paternity is a clear-cut indication for repair in adult men attempting to father children. In adolescents, the physicians, family and patients must consider potential for future fertility problems which may or may not actually become of concern. Assessing the degree of negative effect of the varicocele on an adolescent's testicular health can also be difficult as teenagers typically are not asked to provide semen for analysis and thus surrogate markers for testicular health such as testicular size differentials must be used. Treatment options for the adolescent varicocele are similar to options in adult populations. While risks and benefits of various techniques can be considered, the gold standard for varicocele repair in adolescents has not been clearly defined. We aim to discuss diagnosis of varicocele, considerations for initiating treatment of varicocele in the adolescent, and techniques for management.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Adolescent
business.industry
Varicocele
Gold standard
Abnormal dilation
medicine.disease
Pampiniform plexus
Adolescent population
Fertility problems
medicine.vein
Testis
Pediatrics, Perinatology and Child Health
medicine
Humans
Surgery
Risks and benefits
Child
business
Adolescent varicocele
Subjects
Details
- ISSN :
- 10558586
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Seminars in Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....de0f2882aa619ddb6eaa53e6d56b5a9b