MP26-07 DILEMMA OF ADOLESCENT VARICOCELE: LONG-TERM OUTCOME IN PATIENTS MANAGED SURGICALLY AND IN PATIENTS MANAGED EXPECTANTLY.

Abstract

You have accessJournal of UrologyPediatrics: Testis, Varicocele & Stones1 Apr 2014MP26-07 DILEMMA OF ADOLESCENT VARICOCELE: LONG-TERM OUTCOME IN PATIENTS MANAGED SURGICALLY AND IN PATIENTS MANAGED EXPECTANTLY. Essam ElDin Moursy, Mohammed ElDahshoury, Mohammed Hussein, AbdelBasset A. Badawy, and AbdelBasset A. Badawy Essam ElDin MoursyEssam ElDin Moursy More articles by this author , Mohammed ElDahshouryMohammed ElDahshoury More articles by this author , Mohammed HusseinMohammed Hussein More articles by this author , AbdelBasset A. BadawyAbdelBasset A. Badawy More articles by this author , and AbdelBasset A. BadawyAbdelBasset A. Badawy More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.895AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate outcomes of adolescent varicocele in the case of surgical versus conservative management. METHODS 173 adolescent patients presenting with varicocele were evaluated clinically and sonographically to define varicocele grade and testicular volume. The patients were divided into 2 groups: A (53) with testicular size discrepancy >20% and bilateral varicoceles; B (120) unilaterally affected patients with testicular size discrepancy <20%, who were randomly allocated into 2 equal sub-groups (B1 & B2) of 60 patients. Group A & B1 patients underwent 3 loupe magnified inguinal varicocelectomy while B2 patients were conservatively managed. RESULTS Mean patient age was 14.3 years with mean testicular volume of 11.75 mL and 10.15 mL for right and left testicles, respectively. There were no significant differences between subgroups B1 & B2 for age, mean testicular volume, size discrepancy and varicocele grade. Mean follow-up of group A&B1 patients was 78 months showing grade I varicocele recurrence (4 cases), catch-up growth in 70% of cases and normal semen analysis in all cases. Mean follow-up of group B2 patients was 79 months showing catch-up growth in 50% of cases and normal semen analysis in all but 1 case. Four cases were shifted to surgical treatment due to reduction of testicular size (2 cases), varicocele upgrade (1 case) and oligoasthenospermia (1 case). At the last follow-up, the mean testicular volume for groups A, B1 & B2 was 16.2, 16.45 & 16.3 mL for right testes and 14.7,15.2&15.6 1 mL for left testes, respectively. There was significantly better catch-up growth in sub-group B1 compared to B2 but the testicular volume was not statistically different. CONCLUSIONS Although adolescent varicocelectomy was associated with a higher percentage of patients showing testicular catch-up growth, the mean testicular volume was not significantly different. Further studies are needed to report on paternity among those patients. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e253 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Essam ElDin Moursy More articles by this author Mohammed ElDahshoury More articles by this author Mohammed Hussein More articles by this author AbdelBasset A. Badawy More articles by this author AbdelBasset A. Badawy More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...