High prevalence of intratesticular varicocele in a post-orchidopexy cohort

Vries, Annebeth Meij-de; Bakker, F.M. den; Lijster, Floor S.W. van der Wolf-de; Meijer, R. W.; Goede, Joery; Heij, Hugo A.

doi:10.1016/j.jpurol.2012.04.004

Cited by 8 publications

(7 citation statements)

References 25 publications

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“…There is very little data on varicoceles after previous inguinal surgery. After orchidopexy there seems to be an increased rate of intratesticular varicocele 61 ; and in general previous inguinal surgery does not seem to affect efficiency or safety of varicocele repair 62 . There is no literature on varicoceles in solitary testis, and therefore decision-making should be based on individual situations.…”

Section: Clinical Evaluation and Outcomementioning

confidence: 90%

The Dilemma of Adolescent Varicoceles: Do They Really Have to Be Repaired?

2017

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The primary indication for varicocele repair in adults, that of failed paternity, must be substituted in the adolescent population with surrogate parameters of testicular size differential and semen analysis. Making recommendations based on these two parameters is incredibly difficult because studies often have contradictory findings, different patient populations, and lack of long term follow up of the key endpoint, paternity. Therefore, it is not a surprise that recommendations for adolescent varicocele repair are general (with some exceptions) and necessarily so because of limitations in quality of evidence. Apart from pain, all indications for varicocele repair in adolescence remain controversial. This highlights the most important task for future studies: to prevent pediatric urologists from allowing a potentially damaging process to go untreated, while at the same time avoiding unnecessary intervention on a highly prevalent condition.

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Section: Clinical Evaluation and Outcomementioning

confidence: 90%

The Dilemma of Adolescent Varicoceles: Do They Really Have to Be Repaired?

2017

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“…ITV has been reported to have a prevalence of 0.4%-2.0% among patients who underwent scrotal screening by US. [3][4][5] Moreover, a higher ITV prevalence rate was reported in longterm follow-up study of patients who underwent prepubertal orchiopexy for undescended testes, 2 and most of the cases occurred on the left-side unilaterally (67.6%). 2 Undescended testes itself could be a primary factor of spermatogenic disorders.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Moreover, a higher ITV prevalence rate was reported in longterm follow-up study of patients who underwent prepubertal orchiopexy for undescended testes, 2 and most of the cases occurred on the left-side unilaterally (67.6%). 2 Undescended testes itself could be a primary factor of spermatogenic disorders. 9 The main reason is that the abnormal environment of the testes and exposure to elevated temperatures strongly affect germ cell differentiation.…”

Section: Discussionmentioning

confidence: 99%

“…Apart from ETV, intratesticular varicocele (ITV) is a relatively rare condition with dilation of the intratesticular vein, which was first reported in 1992 by Weiss et al 1 It was reported to occur in approximately 8.6% of patients who underwent orchiopexy for undescended testis in early childhood. 2 It is usually identified as a round-or oval-shaped lesion on scrotal ultrasonography (US). To date, several studies have reported on ITV cases and the epidemiology of ITV, [3][4][5][6][7][8] but only few have reported on the surgical outcome of repair for ITV.…”

Section: Introductionmentioning

confidence: 99%

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Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis

et al. 2022

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Introduction We report a case series of six patients with a chief complaint of infertility who underwent microsurgical varicocelectomy for intratesticular varicocele (ITV) after undergoing orchiopexy for undescended testis in their childhood. Case presentation The patients' median age was 34 years. The median age at which orchiopexy was performed was 4.5 years. All the cases of ITV were accompanied by extratesticular varicocele (ETV). All the patients underwent a microsurgical subinguinal varicocelectomy. At 3 months after operation, the ITV and ETV had disappeared in all the cases. Sperm density and motility increased in five and four patients, respectively. Conclusion ITV occurs at a relatively high frequency after orchiopexy for undescended testis. Disorder of the valvular function of the testicular vein in peeling the testicular vessels was thought to be a primary cause and is often found on the left side. Doppler ultrasonography of the testis is considered important for diagnosis.

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“…20.5). Intratesticular varicoceles have been observed in 8.6% of patients who had undergone prepubertal orchiopexy for acquired undescended testis [25] and in a nonspecified percentage of patients with clinical varicocele.…”

Section: Diagnosismentioning

confidence: 99%

Perspectives in Pediatric Pathology, Chapter 20. Adolescent Varicocele

et al. 2016

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Varicocele is characterized by elongation, dilatation, and tortuosity of the veins draining the testis and its covers, causing circulatory reflux along the inner spermatic vein [ 1 ]. Varicocele results in progressive testicular lesions and, if untreated, can lead to testicular atrophy [ 2 ]. Varicocele is considered the most frequently identified cause of male infertility [ 3 ]. The mechanisms involved in varicocele formation are not well known and probably are multiple, differing from one patient to another.

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High prevalence of intratesticular varicocele in a post-orchidopexy cohort

Cited by 8 publications

References 25 publications

The Dilemma of Adolescent Varicoceles: Do They Really Have to Be Repaired?

The Dilemma of Adolescent Varicoceles: Do They Really Have to Be Repaired?

Microsurgical varicocelectomy for intratesticular varicocele with a history of orchiopexy for undescended testis

Perspectives in Pediatric Pathology, Chapter 20. Adolescent Varicocele

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