The Dilemma of Adolescent Varicoceles: Do They Really Have to Be Repaired? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-05

AUTHORS

Bryan S. Sack, Mattias Schäfer, Michael P. Kurtz

ABSTRACT

The primary indication for varicocele repair in adults, that of failed paternity, must be substituted in the adolescent population with surrogate parameters of testicular size differential and semen analysis. Making recommendations based on these two parameters is incredibly difficult because studies often have contradictory findings, different patient populations, and lack of long-term follow up of the key endpoint, paternity. Therefore, it is not a surprise that recommendations for adolescent varicocele repair are general (with some exceptions) and necessarily so because of limitations in quality of evidence. Apart from pain, all indications for varicocele repair in adolescence remain controversial. This highlights the most important task for future studies: to prevent pediatric urologists from allowing a potentially damaging process to go untreated, while at the same time avoiding unnecessary intervention on a highly prevalent condition. More... »

PAGES

38

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11934-017-0686-7

DOI

http://dx.doi.org/10.1007/s11934-017-0686-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084033493

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28315171


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