[Varicocele in childhood and adolescence. Evaluation apropos of a series of 58 cases].
5 to 25% of the male adolescents present with a varicocele; only those cases inducing serious discomfort or affecting the development of the testis require surgical treatment. Nevertheless the results of surgery are disappointing with a high recurrence rate. Based on a better knowledge of the testicular venous drainage, it appears that the conventional high ligation of the spermatic vein(s) might not be sufficient to cure the varicocele, fifty-eight patients were operated upon using four different procedures. Only a complete and proximal ligation of all of the visibly dilated veins seems to prevent recurrences with a follow-up of at least one year. However, out of eleven cases treated with this original procedure, one patient, already operated upon twice without success, developed secondary atrophy.
Peyret
C
C
Service de Chirurgie Orthopédique et Infantile, Hôpital Saint-Joseph, Paris.
Lottmann
H
H
Melin
Y
Y
Cendron
J
J
D000293:Adolescent; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012008:Recurrence; D013085:Spermatic Cord / Q000098:blood supply / Q000601:surgery*; D013733:Testicular Diseases / Q000601:surgery*; D013737:Testis / Q000098:blood supply; D014646:Varicocele / Q000601:surgery*
Varicocèle de l'enfant et de l'adolescent. Mise au point à propos d'une série de cinquante-huit cas.