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[Idiopathic varicocele in children]
Anales Espanoles De Pediatria
|December 1, 1984
Insights
High ligature of the spermatic vein effectively treated left-sided idiopathic varicocele in ten children. Early childhood surgery is recommended to prevent adult subfertility or infertility.
Area of Science:
- Pediatric Surgery
- Urology
- Reproductive Medicine
Context:
- Left-sided idiopathic varicocele affects pediatric patients.
- Varicocele can lead to testicular damage and impact fertility.
- Surgical intervention is a common treatment modality.
Purpose:
- To evaluate the outcomes of high ligature of the spermatic vein in children with left-sided idiopathic varicocele.
- To assess the histological impact of varicocele on testicular tissue in pediatric patients.
- To determine the optimal timing for varicocele surgery to preserve fertility.
Summary:
- Ten children underwent high ligature of the spermatic vein for left-sided idiopathic varicocele.
- All patients experienced favorable outcomes post-surgery.
- Testicular biopsy revealed variable degrees of histological damage, highlighting the importance of early intervention.
Impact:
- Early surgical correction of idiopathic varicocele in childhood can prevent subfertility and infertility in adulthood.
- High ligature of the spermatic vein is an effective treatment for pediatric varicocele.
- Histological assessment underscores the long-term consequences of untreated varicocele.
Abstract:
The authors present their experience with ten children operated on for left-sided idiopathic varicocele over a period of seven years. The treatment was high ligature of the spermatic vein with a favorable outcome in all cases. The histology of the testes, seen in biopsy, demonstrated a variable degree of damage. For this reason the authors recommend that this operation should be done in childhood in order to avoid problems of subfertility or infertility in adult life.