title: The dilemma of adolescent varicocele.
abstract: Adolescent varicocele is associated with ipsilateral testicular hypotrophy and the concern for future infertility. A testicular size discrepancy greater than 15-20 % between left and right testicle is an indication for treatment to allow catch-up growth in the hope of preventing a future decline in fertility. Some authors advocate for a period of watchful waiting, as normal testicular growth may occur asymmetrically. We review the current literature to highlight some controversies and challenges in management.
authors.affiliation: Department of Pediatric Urology, Children's Healthcare of Atlanta, Emory University School of Medicine, 5445 Meridian Mark Rd, Suite 420, Atlanta, GA, 30342, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Garcia-Roig
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Kirsch
mesh_terms: D000293:Adolescent; D006801:Humans; D008297:Male; D009929:Organ Size; D012611:Scrotum / Q000473:pathology; D013737:Testis / Q000473:pathology; D014646:Varicocele / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*