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The dilemma of adolescent varicocele

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Abstract

Adolescent varicocele is associated with ipsilateral testicular hypotrophy and the concern for future infertility. A testicular size discrepancy greater than 15–20 % between left and right testicle is an indication for treatment to allow catch-up growth in the hope of preventing a future decline in fertility. Some authors advocate for a period of watchful waiting, as normal testicular growth may occur asymmetrically. We review the current literature to highlight some controversies and challenges in management.

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Garcia-Roig, M.L., Kirsch, A.J. The dilemma of adolescent varicocele. Pediatr Surg Int 31, 617–625 (2015). https://doi.org/10.1007/s00383-015-3698-8

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