Management of childhood and adolescent varicocele : experience at prince rashid bin al-hassan hospital-jordan
Joint Authors
al-Umari, Najih
Ahmad, Murhij
Khamaeseh, Jasim
Ubaydat, Inam
al-Hammuri, Firas Ahmad
Abu Qamar, Adnan A.
Source
Journal of the Royal Medical Services
Issue
Vol. 16, Issue 2 (31 Aug. 2009), pp.35-38, 4 p.
Publisher
The Royal Medical Services Jordan Armed Forces
Publication Date
2009-08-31
Country of Publication
Jordan
No. of Pages
4
Main Subjects
Topics
Abstract EN
Objective: The aim of this retrospective study is to evaluate if the early repair of varicocele in children and adolescents can prevent testicular growth arrest and male infertility later on.
Methods: During a three year period (2004- 2006), 70 children and adolescents with varicocele who were operated on at Prince Rashid Hospital were reviewed (mean age 15 years, 9-19 years).
All patients had been evaluated by a urologist or a pediatric surgeon.
High ligation of the internal spermatic vein was carried out either by open retroperitoneal approach or transperitoneal laparoscopic approach.
Results: Of the 70 patients 39 had grade II varicocele and 31 had grade III varicocele.
In 33 patients (49%), the disease was associated with ipsilateral testicular growth arrest.
In seven patients (10%), the disease was associated with impaired seminal fluid analysis parameters, four patients had recurrence of varicocele, and three patients developed hydrocele.
Of 33 patients with testicular growth arrest, 32 ( 97% ) regained normal testicular volume post operatively, while six of the seven patients with impaired seminal fluid analysis achieved normal parameters after surgery.
Conclusion: Varicocele can affect ipsilateral testicular growth and seminal fluid analysis parameters, which may adversely affect fertility.
We recommend early recognition and treatment.
American Psychological Association (APA)
Abu Qamar, Adnan A.& al-Hammuri, Firas Ahmad& al-Umari, Najih& Ahmad, Murhij& Khamaeseh, Jasim& Ubaydat, Inam. 2009. Management of childhood and adolescent varicocele : experience at prince rashid bin al-hassan hospital-jordan. Journal of the Royal Medical Services،Vol. 16, no. 2, pp.35-38.
https://search.emarefa.net/detail/BIM-119460
Modern Language Association (MLA)
Abu Qamar, Adnan A.…[et al.]. Management of childhood and adolescent varicocele : experience at prince rashid bin al-hassan hospital-jordan. Journal of the Royal Medical Services Vol. 16, no. 2 (Aug. 2009), pp.35-38.
https://search.emarefa.net/detail/BIM-119460
American Medical Association (AMA)
Abu Qamar, Adnan A.& al-Hammuri, Firas Ahmad& al-Umari, Najih& Ahmad, Murhij& Khamaeseh, Jasim& Ubaydat, Inam. Management of childhood and adolescent varicocele : experience at prince rashid bin al-hassan hospital-jordan. Journal of the Royal Medical Services. 2009. Vol. 16, no. 2, pp.35-38.
https://search.emarefa.net/detail/BIM-119460
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 37-38
Record ID
BIM-119460