Varicoceles, Hernias, and Hydroceles View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2010-10-22

AUTHORS

Ross Bauer , Barry A. Kogan

ABSTRACT

Varicoceles, hernias, and hydroceles are three common presenting complaints seen by urologists. Varicoceles are found in about 15% of the adolescent population. Varicoceles are easy to diagnose on physician examination by a primary care provider and are almost always asymptomatic. Treatment is needed only to improve fertility, which is not an issue for most teens. Further, semen analysis is difficult to obtain and of questionable utility in the adolescent population, hence treatment should be approached with caution. At this time, persistent volume discrepancy is the principle indication for surgical intervention. For most, routine annual or biennial physical examination for testicular volume should suffice. Pediatric hernias and hydroceles are also a common occurrence and are evaluated routinely in the urologist’s office. The overall incidence of pediatric inguinal hernias ranges from 1 to 4%, with the incidence being 10× greater in males than females. Standard of care is open repair through an inguinal incision with high ligation of the hernia sac. Laparoscopic inspection of the contralateral internal ring through the patent processus vaginalis is a useful adjunct. More... »

PAGES

191-202

Book

TITLE

Pediatric Urology

ISBN

978-1-60327-419-7
978-1-60327-420-3

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-60327-420-3_10

DOI

http://dx.doi.org/10.1007/978-1-60327-420-3_10

DIMENSIONS

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