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Combination of High Ligation and Intraoperative Embolization Using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
Evolving management of adolescent varicocele
Marco Castagnetti1, Marcello Cimador, Pieralba Catalano
1Department of Paediatric Surgery, University of Palermo, Dipartimento Universitario Materno Infantile, Via Ugo Betti 46, 90147 Palermo, Italy. marcocastagnetti@hotmail.com
Journal of Pediatric Urology
|July 18, 2008
Summary
Adolescent varicocele treatment evolved, with both laparoscopic and subinguinal varicocelectomy proving effective. Most patients with growth failure achieved catch-up growth post-surgery.
Area of Science:
- Urology
- Pediatric Surgery
- Andrology
Background:
- Adolescent varicocele is a common condition affecting testicular development.
- Treatment indications and surgical techniques for varicocele have evolved over time.
Purpose of the Study:
- To review changes in indications and treatment modalities for adolescent varicocele.
- To evaluate the impact of varicocelectomy on patient outcomes.
Main Methods:
- Retrospective review of 242 adolescent varicocele cases (1995-2006).
- Comparison of subinguinal varicocelectomy (n=124) versus laparoscopic Palomo procedure (n=118).
- Preoperative assessment included clinical evaluation, testicular volume measurement, and color-Doppler ultrasound (CDUS).
Main Results:
- Increased proportion of surgeries for testicular growth retardation over time.
- Comparable persistence/recurrence rates between surgical groups.
- Postoperative catch-up growth observed in approximately 75% of patients with preoperative growth failure.
Conclusions:
- Treatment indications for adolescent varicocele continue to evolve.
- Both laparoscopic and subinguinal varicocelectomy are effective treatment options.
- Color-Doppler ultrasound aids in surgical decision-making for varicocele.
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