Adolescent varicocele.

Abstract:

PURPOSE OF REVIEW:Adolescent varicocele is a common lesion which remains poorly understood. Recent research in pathophysiology and surgical management has shed new light on this increasingly diagnosed clinical entity. RECENT FINDINGS:Recent research demonstrates the potential importance of heat and oxidative stress patterns on testicular dysfunction with varicocele. The importance of testicular volume differentials as a surgical indication have been demonstrated. Surgical innovations have included artery sparing, often with microscopic magnification, and enhanced identification of lymphatics to reduce hydrocele with a laparoscopic approach. SUMMARY:Optimal management of adolescent varicocele is being clarified. A conservative, selective approach based on testicular volume differentials and semen analysis findings seems appropriate. Techniques affording artery and lymphatic sparing should be employed.

journal_name

Curr Opin Urol

authors

Diamond DA

doi

10.1097/MOU.0b013e3281ddb30c

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

263-7

issue

4

eissn

0963-0643

issn

1473-6586

pii

00042307-200707000-00010

journal_volume

17

pub_type

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