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Review
. 2017 Sep;43(3):241-246.
doi: 10.5152/tud.2017.01033. Epub 2017 Aug 1.

Update on the novel management and future paternity situation in adolescents with varicocele

Selahittin Çayan  1 , Murat Bozlu  1 , Erdem Akbay  1
Affiliations
Review

Update on the novel management and future paternity situation in adolescents with varicocele

Selahittin Çayan et al. Turk J Urol. 2017 Sep.

Abstract

Varicocele is a progressive disease, and the incidence of varicocele and varicocele related testicular hypotrophy increases with puberty. This review updates novel management and future paternity potential in adolescents with varicocele. Main goal of treatment of the adolescent varicoceles is preservation of fertility. Current recommendations for adolescent varicocele repair are testicular hypotrophy (>2 mL or >20%) on the affected side and/or impaired spermatogenesis in the post-pubertal period. The best treatment modality for adolescent varicocele should include elimination of the varicocele with lower complication rates. Microsurgical varicocelectomy techniques have been shown to result in fewer recurrences and postoperative complications than conventional varicocelectomy in adolescents. We conducted a meta-analysis, including 2 studies with the control groups, and reporting paternity situation after varicocele treatment. In this meta-analysis, varicocele repair increases paternity rate 2.42 times with a p value of 0.000. Adolescents with varicocele and their families should be counselled in the light of these findings.

Keywords: Adolescents; fertility; microsurgery; paternity; varicocele.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
Algorithm for follow-up and treatment of adolescent varicocele
Figure 2
Figure 2
A meta-analysis of the 2 studies with the control groups, reporting paternity rates after varicocele repair[32,33]
See this image and copyright information in PMC

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