Adolescent varicocele.
OBJECTIVE
Adolescent varicocele is a common lesion which remains poorly understood. Recent research in pathophysiology and surgical management has shed new light on this increasingly diagnosed clinical entity.


RESULTS
Recent research demonstrates the potential importance of heat and oxidative stress patterns on testicular dysfunction with varicocele. The importance of testicular volume differentials as a surgical indication have been demonstrated. Surgical innovations have included artery sparing, often with microscopic magnification, and enhanced identification of lymphatics to reduce hydrocele with a laparoscopic approach.


CONCLUSIONS
Optimal management of adolescent varicocele is being clarified. A conservative, selective approach based on testicular volume differentials and semen analysis findings seems appropriate. Techniques affording artery and lymphatic sparing should be employed.
Diamond
David A
DA
Department of Urology, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. david.diamond@childrens.harvard.edu
D000293:Adolescent; D006801:Humans; D008297:Male; D006848:Testicular Hydrocele / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013737:Testis / Q000098:blood supply; D016896:Treatment Outcome; D014646:Varicocele / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods