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Urology. 2006 Aug;68(2):410-2.

Results of microsurgical subinguinal varicocelectomy in children and adolescents.

Author information

1
Department of Urology, University of Ankara Faculty of Medicine, Ankara, Turkey.

Abstract

OBJECTIVES:

To report our experience with microsurgical subinguinal varicocelectomy in boys younger than 18 years old.

METHODS:

A total of 92 boys with a mean age of 15.8 years (range 11 to 18) underwent microsurgical subinguinal varicocelectomy because of ipsilateral testicular hypotrophy (n = 63), pain, or parental preference. The varicoceles were grade III in 82 (89.1%) and grade II in 10 (10.9%) boys. Microsurgery was assisted by an operating microscope (10x to 25x) and Doppler probe. All boys were discharged home on the same day of surgery.

RESULTS:

Of the 92 patients, 78 attended the initial postoperative visit at 1 month and 61 attended the 1-year follow-up visit. At 1 year, 40 (65.6%) of 61 testes demonstrated catch-up growth, with no evidence of testicular loss or persistent hypotrophy in the other 21. The only complication was persistent scrotal pain in 1 patient. At 1 year of follow-up, 1 patient (1.6%) had a recurrence and no patients had hydrocele formation or evidence of testicular loss or persistent hypotrophy.

CONCLUSIONS:

Microsurgical subinguinal varicocelectomy is a safe, effective, and minimally invasive treatment modality in children and adolescents.

PMID:
16904464
DOI:
10.1016/j.urology.2006.02.022
[Indexed for MEDLINE]

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