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2018 ; 36
(2
): 123-131
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Current Issues in Adolescent Varicocele: Pediatric Urological Perspectives
#MMPMID29623699
Chung JM
; Lee SD
World J Mens Health
2018[May]; 36
(2
): 123-131
PMID29623699
show ga
While varicocele is the most common cause of surgically correctable infertility
in adult males, with repair resulting in improved semen parameters in 60% to 80%
of men and a higher likelihood of conception in up to 60% of men, the rationale
for varicocele repair in the pediatric population is less clear. Additionally,
prepubertal varicoceles are much less common and their management is
controversial. Adolescents with a varicocele are often in the midst of a
progressive disease process. Despite the high prevalence of varicocele and its
association with progressive disease processes, the indications for adolescent
varicocele repair and the effects thereof on paternity have been persistently
challenging to study. This review will briefly present some of the current issues
regarding adolescent varicocele from a pediatric urological point of view,
including the evaluation of adolescent varicocele, the optimal surgical
indications, the optimal choice of surgical intervention to be performed, and
outcomes.
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