Magnification-Assisted Subinguinal Varicocelectomy with Testicular Delivery in Children: A Preliminary Report
The World Journal of Men's Health
; : 93-98, 2014.
Article
in En
| WPRIM
| ID: wpr-132480
Responsible library:
WPRO
ABSTRACT
PURPOSE: To evaluate the effectiveness of magnification-assisted subinguinal varicocelectomy (MASV) with testicular delivery in children with severe varicocele. MATERIALS AND METHODS: We retrospectively analyzed the clinical data of 23 children 15 years or younger (mean age, 12.3+/-1.8 years) who underwent MASV with testicular delivery and ligation of all collateral veins except arteries and deferential veins between January 2010 and January 2014. All patients had grade 3 varicocele on the left side. Varicocelectomy was decided upon due to scrotal hypotrophy (n=14, 60.9%), the existence of mass (n=6, 26.1%, including 1 recurrent case), and discomfort (n=3, 13.0%). The preservation of internal spermatic artery (ISA) was successful in 8 patients (34.8%). The mean follow-up time was 10.8+/-6.6 months. RESULTS: The surgical success rate of varicocelectomy was 100%. The overall symptom resolution rate was 91.3%. The scrotal mass and discomfort disappeared, but testicular catch-up growth did not occur in 2 among 14 patients with scrotal hypotrophy. The left testis volume increased from 6.5+/-4.3 mL to 10.6+/-7.5 mL (p=0.003). There were no significant inter-group differences in terms of the surgical success rate, symptom resolution, and catch-up growth between the ISA preservation group and the ligation group. None of the subjects demonstrated testicular atrophy or hydrocele after surgery. CONCLUSIONS: MASV with testicular delivery is an effective and safe method for children with severe varicocele.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Arteries
/
Recurrence
/
Atrophy
/
Testis
/
Varicocele
/
Veins
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Ligation
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Child
/
Humans
Language:
En
Journal:
The World Journal of Men's Health
Year:
2014
Document type:
Article