Varikotsele U — Detey 1982

Definition and Prevalence

• Varicocele is essentially a swelling of the veins that drain the testicle. It's a condition more commonly diagnosed in adolescents and adults but can be identified in prepubertal boys as well.
• Prevalence: Varicoceles are found in about 15% of boys and adolescents, usually becoming apparent during puberty.

• Testicular hypotrophy (volume difference >2 mL or >20% by orchidometer).
• Pain or discomfort (rare in children).
• Bilateral varicocele (prophylactic surgery).

Что такое варикоцеле?

• Also widely used. It involved ligation of the internal spermatic vein and artery in the retroperitoneal space (higher up than Ivanissevich).
• Advantage: Technically easier and lower recurrence rate because the artery and vein are ligated together in a bundle.
• Disadvantage: Ligation of the testicular artery was controversial; however, in 1982, surgeons relied on the collateral arterial supply (vasal and cremasteric arteries) to keep the testis viable.

Хирургическое лечение было единственным радикальным способом. В 1982 году доминировали две основные техники: varikotsele u detey 1982

3. Epidemiology in Children (Data as of 1982)

| Parameter | Value (1982 sources) | |-----------|----------------------| | Age of onset | 9–12 years | | Peak detection | 13–15 years | | Incidence among boys | 8–16% | | Left-sided | 90–95% | | Bilateral | <5% | Definition and Prevalence