Format

Send to

Choose Destination
See comment in PubMed Commons below
Urol Clin North Am. 2004 Aug;31(3):509-15, ix.

The adolescent varicocele: to treat or not to treat.

Author information

1
Division of Urology, Virginia Commonwealth University - Medical College of Virginia, 1200 East Broad Street, P.O. Box 980118, Richmond, VA 23298, USA.

Abstract

Whether to treat adolescents with varicocele is controversial because over 80% of adult varicoceles are not associated with infertility. Most physicians agree that treating all adolescents with varicocele and subjecting boys to unnecessary surgery is inappropriate,costly, and not without ethical considerations. Waiting until patients present as adults with potentially irreversible infertility, however, is equally unacceptable. Pediatricians and urologists must determine which adolescents are at greatest risk for future fertility problems and warrant early intervention. This article reviews the current literature surrounding adolescent varicocele and offers recommendations for identifying individuals who would most benefit from treatment.

PMID:
15313060
DOI:
10.1016/j.ucl.2004.04.012
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center