title: Adolescent Varicoceles and Infertility.
abstract: Varicoceles are associated with testicular atrophy and abnormal spermatogenesis. Varicocele-related testicular damage is thought to be progressive in nature. Adult varicoceles are common in men with infertility, and varicocele repair in this population has demonstrated improved semen parameters and paternity outcomes. However, without solid objective endpoints (reproducible semen analyses, paternity), the indications for adolescent varicocele repair remain controversial. Given the controversy surrounding adolescent varicocele management, it is not surprising that surveys of pediatric urologists have revealed a lack of consensus on diagnostic approaches, treatment decisions, and operative approaches.
authors.affiliation: Department of Pediatric Urology, Riley Hospital for Children, 705 Riley Hospital Drive, Suite 4230, Indianapolis, IN 46202, USA. Electronic address: jetcasey@iupui.edu.
authors.forename: Jessica T
authors.initials: JT
authors.lastname: Casey
authors.affiliation: Department of Pediatric Urology, Riley Hospital for Children, 705 Riley Hospital Drive, Suite 4230, Indianapolis, IN 46202, USA.
authors.forename: Rosalia
authors.initials: R
authors.lastname: Misseri
mesh_terms: D000293:Adolescent; D006801:Humans; D007248:Infertility, Male / Q000209:etiology*; D008297:Male; D014646:Varicocele / Q000150:complications* / Q000601:surgery
keywords: Adolescent; Infertility; Semen analysis; Varicocele; Varicocelectomy