Prepubertal varicoceles.

Urology

Published: August 1998

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Background: Epididymal cysts (ECs) are uncommon in the pediatric population. The objective of this study was to evaluate the frequency, clinical characteristics, and management strategies of ECs in children.

Methods: We performed a retrospective review of pediatric scrotal ultrasounds between January 2014 and August 2022 to identify children with ECs.

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Objective: To investigate the role of the serum inhibin B (INHB) level in evaluating the testicular function of the prepubertal patient with varicocele (VC) after high ligation of the spermatic vein (HLSV).

Methods: This study included 31 prepubertal male patients with left VC, averaging 12.55 years of age and 9 complicated by right VC.

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While varicocele is the most common cause of surgically correctable infertility in adult males, with repair resulting in improved semen parameters in 60% to 80% of men and a higher likelihood of conception in up to 60% of men, the rationale for varicocele repair in the pediatric population is less clear. Additionally, prepubertal varicoceles are much less common and their management is controversial. Adolescents with a varicocele are often in the midst of a progressive disease process.

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Retroperitoneoscopic Varicocelectomy in Adolescents: Long-term Follow-up in Two Italian Centres.

Afr J Paediatr Surg

June 2018

Department of Medical, Surgical and Neurological Science, Pediatric Surgery Unit, University of Siena, 53100 Siena, Italy.

Background: The varicocele is the most commonly diagnosed pre-pubertal andrological condition with an incidence of 10%-15% between adolescents. The aim of this study was to evaluate the efficacy of retroperitoneoscopic varicocelectomy (RV) in two Italian centres with particular attention to post-operative testicular volume and semen analysis after 18 years of life.

Materials And Methods: From 1999 to 2010, 286 adolescents underwent retroperitoneoscopic left varicocelectomy.

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Article Synopsis
  • The study investigated a new laparoscopic varicocelectomy technique using indocyanine green (ICG) for enhanced blood flow visualization in patients with grade 2 or 3 varicoceles.
  • The procedure was performed on 11 patients (9 adult men with infertility and 2 prepubertal boys), demonstrating efficient identification of arteries and veins with mean phases of 34.9 seconds for arterial and 58.3 seconds for venous blood flow.
  • Results showed a low residual varicocele rate (9.1% at 3 months, 0% at 6 months) with no serious complications, indicating that ICG angiography is a safe and effective technique that warrants further study in larger
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