Effects of varicocele treatment in adolescents: a randomized study

Laven, Joop; Haans, Lucien; Mali, W. P. T. M.; Velde, Egbert R. te; Wensing, C. J. G.; Eimers, J. M.

doi:10.1016/s0015-0282(16)55324-2

Cited by 195 publications

(91 citation statements)

References 17 publications

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“…After varicocelectomy, testicular volumes were reported to increase in adolescents with testicular volume differences or atrophy. Laven et al [22] reported increased left testicular volume after varicocelectomy, while no increase was found in an untreated group, although the serum hormone values were within the normal range in all patients. Lemack et al [23] showed improved testicular volume in 89% of adolescents with testicular atrophy after microsurgical inguinal varicocelectomy.…”

Section: Discussionmentioning

confidence: 81%

The prevalence of varicocele and varicocele‐related testicular atrophy in Turkish children and adolescents

Akbay¹,

Cayan²,

Doruk³

et al. 2000

BJU International

209

115

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Objective To determine the prevalence and site of varicocele and varicocele-related testicular atrophy in children and adolescents. Patients and methods The study included 4052 boys aged of 2±19 years, divided into four age groups; the ®ndings of a physical examination, any testicular atrophy and testicular volume were recorded. Results Varicocele was detected in 293 (7.2%) of the 4052 boys; the prevalence was 0.79% in those aged 2±6 years, 0.96% at 7±10 years, 7.8% at 11±14 years and 14.1% at 15±19 years. The prevalence was 0.92% in 1232 children aged 2±10 years and 11.0% in 2531 adolescents aged 11±19 years (P<0.001). The prevalence increased signi®cantly at age 13 years (P<0.005). The varicocele was unilateral in 263 of the 293 (89.7%) boys with varicocele; of these, one (0.38%) was on the right and the others on the left side. Varicoceles were bilateral in 30 of 279 boys (10.8%) aged 11±19 years but none were detected in those aged <11 years. Varicocelerelated testicular atrophy was not present in those aged <11 years, but seven boys (7.3%) aged 11±14 years and 17 (9.3%) aged 15±19 years had testicular atrophy. The difference in prevalence between the last two age groups with atrophy was not signi®cant. Conclusion These ®ndings support the view that varicocele is a progressive disease and that the prevalence of varicocele and testicular atrophy increases with the puberty.

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Section: Discussionmentioning

confidence: 81%

The prevalence of varicocele and varicocele‐related testicular atrophy in Turkish children and adolescents

Akbay¹,

Cayan²,

Doruk³

et al. 2000

BJU International

209

115

View full text Add to dashboard Cite

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“…21,22 According to the EAU guidelines 2010, 23 varicocele treatment is recommended for symptomatic cases and for adolescents who have progressive failure of testicular development documented by serial clinical examinations. 24,25 Cryptorchidism…”

Section: Varicocelementioning

confidence: 99%

Male infertility: Pathogenesis and clinical diagnosis

Krausz¹

2011

Best Practice & Research Clinical Endocrinology & Metab

420

315

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“…Haans et al [5] did not observe significative differences in the LH, FSH, prolactin, and testosterone serum levels and in the semen values between adolescents with varicocele and their controls; only patients with marked left testicular volume reduction showed low sperm concentration. Laven et al [15] demonstrated an increase in the left testicular volume and in the testosterone concentration in adolescents after varicocelectomy. In the group of adolescents studied by Okuyama et al [18] postvaricocelectomy procedures were followed until the patients presented complete sexual maturation, demonstrating an increase of the testicular volume and of the semen quality in the Note.…”

Section: Discussionmentioning

confidence: 97%