Dilemma of adolescent varicocele: long-term outcome in patients managed surgically and in patients managed expectantly.

Objective: 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.