title: [Results of microsurgical varicocelectomy in the adolescent].
abstract: OBJECTIVE
  Microsurgical varicocelectomy procedures are known to have high rates of success and minimal incidence of postoperative hydrocele occurrences in adults. Herein, we report our initial experience with microsurgical inguinal and subinguinal techniques for the treatment of varicoceles in adolescent patients.
  
  
  METHODS
  A total of 9 boys (averaged age 12.7 years each younger than 15 at the time of the operation) with a left varicocele underwent microsurgical inguinal or subinguinal repair, and were included in this study.
  
  
  RESULTS
  The microsurgical varicocelectomy procedures including meticulous dissection required a mean 170.4 +/- 45.6 minutes (range, 105-240 minutes) and the testicular arteries were preserved in all patients. Catch-up growth was seen in one of two patients whose testicular volumes were determined by ultrasonography both pre and post operatively. None of the patients has developed a recurrent varicocele or postoperative hydrocele after a mean follow-up of 24.6 months.
  
  
  CONCLUSIONS
  As with adults, microsurgical subinguinal and inguinal varicocelectomy procedures are safe and effective, and can be considered one of feasible treatment for varicoceles in adolescents.
authors.affiliation: Department of Urology, Hyogo College of Medicine.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Kondoh
authors.forename: Kyu
authors.initials: K
authors.lastname: Kun
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Ueda
authors.forename: Toru
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Higuchi
authors.forename: Takuo
authors.initials: T
authors.lastname: Maruyama
authors.forename: Michio
authors.initials: M
authors.lastname: Nojima
authors.forename: Shingo
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Shima
mesh_terms: D000293:Adolescent; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D013737:Testis / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome; D014463:Ultrasonography; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014646:Varicocele / Q000473:pathology / Q000601:surgery*