Abstract
Simultaneous measurements of left and right scrotal, and axillary skin temperatures were recorded in 58 consecutive adolescents (mean age 14.4 years) with a grade II-III left sided varicocele, and nine control adolescents without genital pathology (mean age 15.7 years). Left and right testicular volumes were determined in both groups. The adolescents with a varicocele had a significant bilateral elevation of the scrotal temperatures compared to the control subjects. This relative hyperthermia was present in both supine and standing positions. The mean left scrotal temperature of varicocele patients was significantly higher in the standing position than in the supine position, which may reflect the dependent venous filling of the varicocele. Those varicocele patients who maintained a left scrotal temperature at least 1.4°C cooler than axillary did not have significant left testicular volume loss, whereas those whose left temperature was approximately equal to axillary did have significant growth retardation of the left testis. Following successful varicocele surgery, left scrotal temperatures were significantly cooler, and statistically indistinguishable from controls. The left testicular volumes were also significantly improved with respect to corresponding right testicular volumes. These observations suggest that adolescents with a moderate to large left varicocele have a significant bilateral loss of testicular thermoregulation. In those individuals with a significantly warmer left hemiscrotum, there is a definite increased potential for left testicular volume loss. Varicocele surgery can reverse this process.
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References
Steeno, O., Knops, J., Declerck, L. et al. 1976. Prevention of fertility disorders by detection and treatment of varicocele at school and college age.Androl., 8: 47–53.
Oster, J. 1971. Varicocele in children and adolescents.Scand. J. Urol. Nephrol., 5:27–32.
Mieusset, R., Bujan, L., Mondinat, C., Mansat, A., Pontonnier, F. and Grandjean, H. 1987. Association of scrotal hyperthermia with impaired spermatogenesis in infertile men.Fertil. Steril., 48(6): 1006–1011.
Lipshultz, L.I. and Corriene, J.N. 1977. Progressive testicular atrophy in the varicocele patient.J. Urol., 117: 175–176.
Kass, E.J. and Belman, A.B. 1987. Reversal of testicular growth failure by varicocele ligation,J.Urol., 137:475–476.
Kass, E.J., Freitas, J.E. and Bour, J.B. 1989. Adolescent varicocele: objective indications for treatment.J. Urol., 579–582.
Kass, E.J., Chandra, R.S. and Belman, A.B. 1987. Testicular histology in the adolescent with a varicocele.Peds. 79: 996–998.
Dahl, E.V. and Herrick, J.F. 1959. A vascular mechanism for maintaining testicular temperature by counter-current exchange.Sur., Gvn. & Obs., 108(6): 697–705.
Procope, B.J. 1965. Effect of repeated increase in body temperature on human sperm cells.Int J, Fertil., 10: 333.
Robinson, P., Rock, J. and Menkin, M.F. 1968. Control of human spermatogenesis by induced changes of intrascrotal temperature.JAMA. 204: 290.
Zorgniotti, A,W. and MacLeod, J. 1973. Studies in temperature; human semen quality and varicocele.Fertil. Steril., 24: 854–863.
Agger, P. 1971. Scrotal and testicular temperature: its relation to sperm count before and after operation for varicocele.Fertil. Steril., 22: 286–297,
Kurz, K.R. and Goldstein, M. 1986. Scrotal temperature reflects intratesticular temperature and is lowered by shaving.J. Urol., 135: 290.
Goldstein, M, and Eid, J.F. 1989. Elevation of intratesticular and scrotal skin surface temperature in men with varicocele,J. Urol., 142; 743–745.
Takihara, H., Cosentino, M.J. and Cockett, A.T.K. 1983. Significance of a new orchidometer in andrology clinic: testicular atrophy in the varicocele patient and recovery after varicocelectomy. Presented at the annual meeting of the American Urological Association, Las Vegas,
Cowles, R.B. 1965. Hyperthermia, aspermia, mutation rates and evaluation.Quart. Rev. Biol., 40: 341.
Kay, R., Alexander, N.J. and Baugham, W.L. 1979. Induced varicoceles in rhesus monkeys.Fertil. Steril., 31: 195–199.
Zippe, C.D., Tomashefsky, P. and Nagler, H.M. 1987. Altered testicular microvascular bed function in the experimental varicocele.Surg. Forum. 38: 645–646.
Saypol, D.C., Howards, S.S. and Turner, T.T. 1981. Influence of surgically induced varicocele on testicular blood flow, temperature and histology in adult rats and dogs. J.Clin. Invest., 68: 39–45.
Hurt, G.S., Howards, S.S. and Turner, T.T. 1986. Repair of experimental varicosities in the rat: long-term effects on testicular blood flow and temperature on cauda epididymal sperm concentration and mobility.J. Androl., 7: 271.
Fussel, E.N., Lewis, R.W. and Roberts, J.A. 1981. Early ultrastructural findings in experimentally produced varicocele in the monkey testis.J. Androl., 2: 111–119.
Re M., Iannitelli, M. and Cerasaro, A. 1983. Histochemical study of glycogen and Phosphorylase activity on bilateral biopsies of Oligospermic men with varicocele.Arch. Androl., 10(1): 79–83.
Green, K.F., Turner, T.T. and Howards, S.S. 1984. Varicocele: reversal of testicular blood flow and temperature effects by varicocele repair.J. Urol., 131: 1208.
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© 1991 Plenum Press, New York
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Salisz, J.A., Kass, E.J., Steinert, B.W. (1991). The Significance of Elevated Scrotal Temperature in an Adolescent with a Varicocele. In: Zorgniotti, A.W. (eds) Temperature and Environmental Effects on the Testis. Advances in Experimental Medicine and Biology, vol 286. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5913-5_28
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DOI: https://doi.org/10.1007/978-1-4684-5913-5_28
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