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Adolescent Varicocele

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Abstract

Varicocele is the abnormal dilatation of the pampiniform plexus of veins in the scrotum. While it has long been considered an adult disorder, the condition starts in childhood and has a progressive nature ultimately affecting around 40 % of men seeking treatment for infertility. Adolescent varicocele is usually asymptomatic, diagnosed during physical examination performed at school or for sport assessment. Among the different pathophysiologic mechanisms proposed to explain the deleterious effects of varicocele, testicular hyperthermia is most explored.

Controversy exists in identifying appropriate adolescent patients for surgery. Currently accepted indications are testicular size difference of >2 mL, grade III varicocele in addition to abnormal semen parameters, symptomatic patients, and bilateral varicocele. Several surgical options exist such as conventional, microsurgical, and laparoscopic varicocelectomy as well as angiographic embolization. Studies on adult varicocelectomy indicate a potential advantage for the microsurgical approach in reducing postoperative recurrence and hydrocele formation.

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Authors and Affiliations

  1. Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH, 44195, USA

    Ahmad Majzoub & Edmund Sabanegh Jr.

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  1. Ahmad Majzoub
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  2. Edmund Sabanegh Jr.
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Correspondence to Edmund Sabanegh Jr. .

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Editors and Affiliations

  1. Medical University Sofia, Sofia, Bulgaria

    Philip Kumanov

  2. American Center for Reproductive Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA

    Ashok Agarwal

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Majzoub, A., Sabanegh, E. (2016). Adolescent Varicocele. In: Kumanov, P., Agarwal, A. (eds) Puberty. Springer, Cham. https://doi.org/10.1007/978-3-319-32122-6_15

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  • DOI: https://doi.org/10.1007/978-3-319-32122-6_15

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