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Updated: Jun 12, 2026
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Grade III Varicocele Surgical Treatment using Spermatic Vein-Superficial Abdominal Vein Shunt
Published on: August 23, 2024
Treatment strategy for the adolescent varicocele
Samuel P Robinson1, Lance J Hampton, Harry P Koo
1Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA 23298-0118, USA.
The Urologic Clinics of North America
|June 24, 2010
Summary
Varicoceles, dilatations of testicular veins, are common in males and a leading cause of correctable infertility. Identifying at-risk adolescents for early surgery is crucial for preserving future fertility.
Area of Science:
- Urology
- Andrology
- Pediatric Surgery
Background:
- Varicocele, a dilatation of testicular veins, is rare in children but increases with puberty.
- It is the most common correctable cause of male infertility, affecting approximately 40% of men with primary infertility.
- Varicoceles can impair testicular growth and function over time.
Purpose of the Study:
- To identify adolescents with varicocele at high risk for adult infertility.
- To guide early surgical intervention for adolescents who would most benefit.
Main Methods:
- This study focuses on the clinical presentation and implications of varicoceles in adolescents.
- It reviews the current understanding of varicocele progression and its impact on testicular function.
Main Results:
- More than half of men with varicocele experience improved semen parameters after varicocelectomy.
- Adolescents with varicoceles face a risk of progressive testicular damage and potential infertility.
Conclusions:
- The decision for surgical intervention in adolescents with varicocele remains controversial.
- Early identification of at-risk individuals is key to preventing future infertility and optimizing outcomes.
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