Testicular Criteria as an Indicator for Surgical Necessity in Stage 2, 3, 4 Varicocele in Children and Adolescents
Abstract: Background: Pediatric varicoceles are common, affecting up to 15% of male children and adolescents. There is controversy surrounding the surgical management of varicoceles in the pediatric population. Aim of the work: To identify a testicular criteria for surgical necessity in stage 2, 3, 4 varicoceles in children and adolescents. Patients and Methods: This study involved thirty patients with varicocele (from 10 to 16 years old), 25 (83.3%) patients managed by conservative treatment while 5 (16.7%) patients needed surgical varicocelectomy due to grade 3 refluxing varicocele. Testicular measurements were assessed by scrotal ultrasound, and the formula length ? width ? height ? 0.52 was used to calculate testes volume in cubic centimeters. Patient management was reviewed and evaluated for clinical varicocele grade, ultrasound-assessed testicular volume at initial diagnosis and change over time, and need for surgical intervention. Results: In our study, 25 (83.3%) patients managed by conservative treatment while 5 (16.7%) patients needed surgical varicocelectomy due to grade 3 refluxing varicocele. Considering follow up of volume changes in patients with varicocelectomy and conservative treatment at 3 months, 4 (80%) and 22 (88%) patients have volume greater than 20, respectively. At 6 months, 2 (40%) and 20 (77.3%) patients have volume greater than 20, respectively. However, at 12 months, 17 (76%) patients with conservative treatment only have volume greater than 20. There was significant difference between patients with varicocelectomy and conservative treatment at 6 and 12 months (p
Keywords: Varicocele, Testicular Criteria, varicocelectomy
How to Cite?: Mohamed Saif Eldin Mahmoud, Ahmed Mohammed Mostafa, Refaat Ibrahim El-Badawy, Yasser Ashoor Mohamed, Mohamed Salah Eldin Abd El Baki, "Testicular Criteria as an Indicator for Surgical Necessity in Stage 2, 3, 4 Varicocele in Children and Adolescents", Volume 10 Issue 12, December 2021, International Journal of Science and Research (IJSR), Pages: 1222-1225, https://www.ijsr.net/getabstract.php?paperid=SR211223031851, DOI: https://dx.doi.org/10.21275/SR211223031851