الدوالي في مرحلة المراهقة مع فارق مستمر في حجم الخصية الجانبية

References

• In adolescents offer surgery for varicocele associated with a persistent small testis (size difference of >2mL or 20%), which should be confirmed on two subsequent visits performed six months apart.
• Prophylactic treatment is only advised in case of documented testicular growth deterioration confirmed by serial clinical or Doppler US examinations and/or abnormal semen analysis.
• Current evidence indicates that microsurgical varicocelectomy is the most effective among the different varicocelectomy techniques.
• Microscopic approach (inguinal/subinguinal) may have lower recurrence and complications rates than non-microscopic approaches (retroperitoneal and laparoscopic), although no RCTs are available yet.