Document Detail


Testicular growth after successful varicocele correction in adolescents: comparison of artery sparing techniques with the Palomo procedure.
MedLine Citation:
PMID:  7815628     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Testicular growth after varicocele surgery was evaluated in 116 boys 9 to 20 years old. A total of 88 boys was available for followup testicular examination 3 to 60 months after successful varicocele repair (mean 25). Left testicular volume loss of 2 cc or greater was present preoperatively in 72 of the 88 patients. The Palomo procedure was performed in 36 cases and repair using artery sparing techniques was done in 36. Mean relative left testicular volume increased 18% in the artery sparing group and 21% in the Palomo group. The increase in relative testicular volume compared to preoperative volumes was statistically significant in both groups (p < 0.05). There was no significant difference in testicular growth between the groups and no postoperative testicular atrophy was observed. A comparison group of 8 boys with uncorrected varicoceles demonstrated a mean relative volume increase of 3% (mean followup 22 months). The increase in testis volume in successfully corrected cases was statistically different (p < 0.05) from that of uncorrected cases. We conclude that reversal of varix induced testicular growth failure occurs only after successful surgical correction. The Palomo procedure resulted in equivalent testicular growth compared to the artery sparing techniques with fewer complications and no testicular atrophy despite intentional ligation of the testicular artery. Based on our data, we believe that the Palomo procedure should be the procedure of choice for adolescent varicocele correction.
Authors:
O Atassi; E J Kass; B W Steinert
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  153     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-02-06     Completed Date:  1995-02-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  482-3     Citation Subset:  AIM; IM    
Affiliation:
William Beaumont Hospital, Royal Oak, Michigan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arteries
Child
Follow-Up Studies
Humans
Male
Testis / blood supply,  growth & development*
Varicocele / surgery*
Vascular Surgical Procedures / methods
Comments/Corrections
Comment In:
J Urol. 1995 Feb;153(2):484-5   [PMID:  7815629 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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