When is surgical repair of varicocele indicated in the treatment of adolescents?

Updated: Jan 02, 2019
  • Author: Wesley M White, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

The indications for repairing varicoceles in adolescents include the following:

  • Significant testicular asymmetry (>20%) demonstrated on serial examinations
  • Testicular pain
  • Abnormal semen analysis results

Very large varicoceles may also be repaired; however, in the absence of atrophy, this indication is relative and controversial. Young men with varicoceles but normal ipsilateral testicular volume should be offered follow-up monitoring with annual objective measurements of testicular volume, semen analyses, or both.

For complete discussion, see Varicocele in Adolescents.


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