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Laparoscopic Varicocelectomy

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Color Atlas of Pediatric Anatomy, Laparoscopy, and Thoracoscopy

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Abstract

Varicoceles are thought to alter testicular development and semen parameters in some men. Whom to treat and the ideal time to treat varicoceles in adolescents have not been demonstrated, but surgical treatment often is recommended. We review the indications and describe the steps of a laparoscopic varicocelectomy.

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References

  1. Witt MA, Lipshultz LI. Varicocele: a progressive or static lesion? Urology. 1993;42(5):541–3.

    Article  CAS  PubMed  Google Scholar 

  2. Oster J. Varicocele in children and adolescents. An investigation of the incidence among Danish school children. Scand J Urol Nephrol. 1971;5(1):27.

    Article  CAS  PubMed  Google Scholar 

  3. Chen S-S, Chen L-K. Risk factors for progressive deterioration of semen quality in patients with varicocele. Urology. 2012;79(1):128–33.

    Article  PubMed  Google Scholar 

  4. The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. World Health Organization. Fertil Steril. 1992;57:1289.

    Google Scholar 

  5. Thomas JC, Elder JS. Testicular growth arrest and adolescent varicocele: does varicocele size make a difference? J Urol. 2002;168(4):1689–91.

    Article  PubMed  Google Scholar 

  6. Paduch DA, Niedzielski J. Repair versus observation in adolescent varicocele: a prospective study. J Urol. 1997;158(3):1128–33.

    Article  CAS  PubMed  Google Scholar 

  7. Kass EJ, Chandra RS, Belman AB. Testicular histology in the adolescent with a varicocele. Pediatrics. 1987;79(6):996–8.

    CAS  PubMed  Google Scholar 

  8. Korets R, Woldu SL, Nees SN, Spencer BA, Glassberg KI. Testicular symmetry and adolescent varicocele—does it need followup? J Urol. 2011;186(4):1614–9.

    Article  PubMed  Google Scholar 

  9. Preston MA, Carnat T, Flood T, Gaboury I, Leonard MP. Conservative management of adolescent varicoceles: a retrospective review. Urology. 2008;72(1):77–80.

    Article  PubMed  Google Scholar 

  10. Kroese A, de Lange N, Collins J, Evers J. Surgery or embolization for varicoceles in subfertile men. Cochrane Database Syst Rev. 2012;(10):CD000479.

    Google Scholar 

  11. Koyle MA, Oottamasathien S, Barqawi A, Rajimwale A, Furness 3rd PD. Laparoscopic Palomo varicocele ligation in children and adolescents: results of 103 cases. J Urol. 2004;172(4):1749–52.

    Article  PubMed  Google Scholar 

  12. Atassi O, Kass EJ, Steinert BW. Testicular growth after successful varicocele correction in adolescents: comparison of artery sparing techniques with the Palomo procedure. J Urol. 1995;153(2):482–3.

    Article  CAS  PubMed  Google Scholar 

  13. Palmer LS, Maizels M, Kaplan WE, Stokes S, Firlit CF. The influence of surgical approach and intraoperative venography on successful varicocelectomy in adolescents. J Urol. 1997;158(3):1201–4.

    Article  CAS  PubMed  Google Scholar 

  14. Parrott T, Hewatt L. Ligation of the testicular artery and vein in adolescent varicocele. J Urol. 1994;152(2 Pt 2):791.

    CAS  PubMed  Google Scholar 

  15. Kass E, Marcol B. Results of varicocele surgery in adolescents: a comparison of techniques. J Urol. 1992;148(2 Pt 2):694.

    CAS  PubMed  Google Scholar 

  16. Iselin C, Almagbaly U, Borst F, et al. Safety and efficiency of laparoscopic varicocelectomy in one hundred consecutive cases. Urol Int. 2010;58(4):213–7.

    Article  Google Scholar 

  17. Mazzoni G, Minucci S, Gentile V. Recurrent varicocele: role of antegrade sclerotherapy as first choice treatment. Eur Urol. 2002;41(6):614–8.

    Article  CAS  PubMed  Google Scholar 

  18. Diamond DA, Xuewu J, Cilento Jr BG, et al. Varicocele surgery: a decade’s experience at a children’s hospital. BJU Int. 2009;104(2):246–9.

    Article  PubMed  Google Scholar 

  19. Schwentner C, Radmayr C, Lunacek A, et al. Laparoscopic varicocele ligation in children and adolescents using isosulphan blue: a prospective randomized trial. BJU Int. 2006;98(4):861–5.

    Article  PubMed  Google Scholar 

  20. Golebiewski A, Krolak M, Komasara L, Czauderna P. Dye-assisted lymph vessels sparing laparoscopic varicocelectomy. J Laparoendosc Adv Surg Tech A. 2007;17(3):360–3.

    Article  PubMed  Google Scholar 

  21. Chiarenza SF, D’Agostino S, Scarpa M, Fabbro M, Costa L, Musi L. Lymphography prior to laparoscopic Palomo varicocelectomy to prevent postoperative hydrocele. J Laparoendosc Adv Surg Tech A. 2006;16(4):394–6.

    Article  PubMed  Google Scholar 

  22. Capolicchio J-P, El-Sherbiny M, Brzezinski A, Eassa W, Jednak R. Dye-assisted lymphatic-sparing laparoscopic varicocelectomy in children. J Pediatr Urol. 2013;9(1):33–7.

    Article  PubMed  Google Scholar 

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Acknowledgments

We thank Dr. David J. Chalmers for providing the video footage and Dr. A. Carson Baisden for photographic editing.

Author information

Authors and Affiliations

  1. Department of Surgery-Urology, University of Colorado Hospital Children’s Hospital Colorado, Aurora, CO, USA

    Vassilis J. Siomos MD

  2. Department of Surgery-Urology, University of Colorado Denver School of Medicine, University of Colorado Hospital, Children’s Hospital Colorado, Aurora, CO, USA

    Cole Wiedel

  3. Department of Pediatric Urology, Children’s Hospital Colorado, Aurora, CO, USA

    Duncan T. Wilcox MD

Authors
  1. Vassilis J. Siomos MD
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  2. Cole Wiedel
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  3. Duncan T. Wilcox MD
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Editor information

Editors and Affiliations

  1. Paediatric Surgery, Royal Hospital for Sick Children Edinburgh, Edinburgh, United Kingdom

    Merrill McHoney

  2. Great Ormond Street Hospital for Children, London, United Kingdom

    Edward M. Kiely

  3. Great Ormond Street Hospital for Children, London, United Kingdom

    Imran Mushtaq

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Siomos, V.J., Wiedel, C., Wilcox, D.T. (2017). Laparoscopic Varicocelectomy. In: McHoney, M., Kiely, E., Mushtaq, I. (eds) Color Atlas of Pediatric Anatomy, Laparoscopy, and Thoracoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53085-6_33

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  • DOI: https://doi.org/10.1007/978-3-662-53085-6_33

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53083-2

  • Online ISBN: 978-3-662-53085-6

  • eBook Packages: MedicineMedicine (R0)

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