a clinical pearl Indications of varicocelectomy in pediatrics

[Admin]

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"The main indications for surgical treatment in the pediatric population are: (1) testicular asymmetry (involved testicle with a lower volume difference of more than 20% in comparison with the contralateral testicle), (2) grade III according to Dubin and Amelar classification, (3) bilateral varicocele in end-stage testicular development, (4) psychological or physical discomfort, and (5) pain [7]."

 

[Admin]

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"above indications are still controversial because in children and adolescents varicocelectomy seems to be mainly prophylactic than therapeutic especially because the real impact of the varicocele itself or a varicocelectomy during the adolescence in the adulthood fertility and paternity is not clear [2, 6]. The parameter of testicular catch-up growth after varicocelectomy in children is controversial due to the influence of the testicular development and the normal asymmetric speed of growing [6]."