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KMID : 1037120140320020093
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The World Journal of Men′s Health
2014 Volume.32 No. 2 p.93 ~ p.98
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Magnification-Assisted Subinguinal Varicocelectomy with Testicular Delivery in Children: A Preliminary Report
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Cho Suk-Ju
Kim Seong-Cheol
Kim Kun-Suk
Park Sung-Chan
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Abstract
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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.
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KEYWORD
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Recurrence, Treatment outcome, Varicocele
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