Fontaine E, Benoit G, Jardin A, Beurton D
Service de Chirurgie Urologique, Hôpital Ambroise Paré, 9, avenue Charles de Gaulle, 92100 Boulogne.
Prog Urol. 2000 Dec;10(6):1099-107.
Varicocele is a frequent disease in adolescents (15%) and has a harmful effect on growth of the testis and spermatogenesis, which deteriorates with increasing exposure time to varicocele. However, only 15 to 20% of adults with varicocele are infertile. It is currently impossible to predict, among adolescents with a varicocele, those who will subsequently be infertile. Testicular hypotrophy reflects testicular repercussions, but its correlation with subsequent infertility is unknown at the present time. However, treatment of varicocele allows correction of testicular hypotrophy. Although the arguments are still only speculative, testicular hypotrophy, together with symptomatic and/or grade III varicocele, represents a logical indication for treatment of varicocele in adolescents. Many techniques can be used to occlude the varicocele in adolescents. Open retroperitoneal surgery is currently the reference method.
精索静脉曲张是青少年中的常见疾病（发病率为15%），对睾丸生长和精子发生有不良影响，且随着精索静脉曲张暴露时间的增加，这种影响会恶化。然而，只有15%至20%患有精索静脉曲张的成年男性不育。目前，在患有精索静脉曲张的青少年中，无法预测哪些人随后会不育。睾丸萎缩反映了睾丸所受的影响，但目前其与后续不育的相关性尚不清楚。然而，精索静脉曲张的治疗可纠正睾丸萎缩。尽管目前这些观点仍只是推测，但睾丸萎缩，连同有症状的和/或III级精索静脉曲张，是青少年精索静脉曲张治疗的合理指征。有多种技术可用于封堵青少年的精索静脉曲张。开放腹膜后手术是目前的参考方法。
