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Boyhood varicocele: an overlooked disorder
Annals of the Royal College of Surgeons of England
|January 1, 1984
Summary
Varicocele, a common disorder of dilated veins in the spermatic cord, is often overlooked in children. This study aims to increase awareness of its prevalence and propose a treatment plan for pediatric varicocele.
Area of Science:
- Urology
- Pediatric Urology
Background:
- Varicocele, a condition involving dilated veins of the spermatic cord, affects both children and adults.
- Despite its prevalence, varicocele in children receives limited attention in medical literature and clinical practice.
- The term varicocele originates from Latin and Greek, signifying a dilated vein and a swelling.
Purpose of the Study:
- To enhance awareness regarding the prevalence of varicocele in pediatric populations.
- To propose a treatment strategy for pediatric varicocele based on clinical experience and literature review.
- To address the infrequent referral rates of varicocele cases in children.
Main Methods:
- Review of varicocele cases referred to Alder Hey Children's Hospital between 1954 and 1982.
- Analysis of world literature to ascertain the true incidence of varicocele.
- Discussion of factors contributing to low referral rates for pediatric varicocele.
Main Results:
- Only 23 cases of pediatric varicocele were referred over a 29-year period, indicating underdiagnosis or under-referral.
- Literature review suggests a higher community incidence than hospital referral rates imply.
- The study highlights a significant gap in attention given to childhood varicocele.
Conclusions:
- Increased awareness and proactive management are crucial for pediatric varicocele.
- A standardized treatment plan is needed to address this often-overlooked condition.
- Further research and improved diagnostic pathways are recommended for childhood varicocele.