Stavropoulos N E, Mihailidis I, Hastazeris K, Moisidou R, Louka G, Filiadis I, Zouma E, Danella M, Kalomiris P
Department of Urology, G. Hatzikosta General Hospital, Ioannina, Greece.
Arch Androl. 2002 May-Jun;48(3):187-92. doi: 10.1080/01485010252869270.
This study was conducted to examine the effect of height and weight on the incidence of varicocele in schoolboys aged 5-16 years and the impact of varicocele on testicular size. Genital stage, height, weight, varicocele grade, and testicular size were recorded for 3047 school boys who were clinically examined while standing by a specialist in urology. Left varicocele was detected in 98 of the boys who were all aged 9-16 years. The mean weight of boys with and without varicocele was 42 kg (95% confidence interval [CI] 40-44 kg) and 47 (95% CI 47-47 kg), respectively (p =.00). There was no difference in mean height between the two groups nor in left and right testicular volume. Although 6 boys with varicocele had a left testicular volume > or =2 mL less than right, there were also 7 boys of comparable age who had a left testicular volume > or =2 mL larger than right. The incidence of varicocele in Greek adolescents is low. Boys with varicocele weighed significantly less but there were no significant differences in height or left versus right testicular volumes. In the light of these observations, the use of left testicular hypotrophy (> or =2 mL compared with the right testicle) should be reconsidered as an indicator for varicocele-induced damage of the testicle in this age group.
本研究旨在探讨身高和体重对5至16岁男学生精索静脉曲张发病率的影响，以及精索静脉曲张对睾丸大小的影响。对3047名男学生记录了生殖阶段、身高、体重、精索静脉曲张分级和睾丸大小，这些学生由泌尿外科专家在站立位进行临床检查。在9至16岁的98名男学生中检测到左侧精索静脉曲张。有精索静脉曲张和无精索静脉曲张的男学生平均体重分别为42千克（95%置信区间[CI]40 - 44千克）和47千克（95%CI 47 - 47千克）（p = 0.00）。两组之间的平均身高以及左右睾丸体积均无差异。虽然6名患有精索静脉曲张的男学生左侧睾丸体积比右侧小2毫升及以上，但也有7名年龄相仿的男学生左侧睾丸体积比右侧大2毫升及以上。希腊青少年精索静脉曲张的发病率较低。患有精索静脉曲张的男学生体重明显较轻，但身高以及左右睾丸体积并无显著差异。鉴于这些观察结果，对于该年龄组，应重新考虑将左侧睾丸萎缩（与右侧睾丸相比相差2毫升及以上）作为精索静脉曲张导致睾丸损伤的指标。
