Yigitler Cengizhan, Yanardag Hakan, Silit Emir, Alpay Ahmet Sahin
Gülhane Military Medical Academy, Department of Surgery, Haydarpasa Training Hospital, Usküdar, Istanbul, Turkey.
Urol J. 2012 Summer;9(3):592-9.
To investigate the prevalence of inguinoscrotal pathologies among a stable population in adolescent age and the association between varicocele and some somatometric features.
A computerized database of 12581 candidates for junior officer studentship in a military college examined from 2002 to 2009 was assessed, and prevalence of inguinoscrotal pathologies as well as relationship of varicocele with weight, height, and body mass index (BMI) were evaluated in a relatively stable group regarding the body status.
Of the applicants, 1424 (11.32%) were affected by at least one inguinoscrotal pathology. Including patients surgically treated, the most common disease was varicocele (5.96%), 98% of which were left-sided, followed by inguinal hernia (3.85%), predominantly located on the right side (55.5%), and undescended testis (0.76%). Younger applicants were more prone to have lower BMI (P = .0001) and varicocele than the older group (P = .036). The presence of varicocele was significantly associated with height (P = .0001) and inversely correlated with BMI (P = .0001), but not with weight (P = .08). Logistic regression analysis showed that lower age and greater height were significant predictors for the occurrence of varicocele in this relatively homogenous population regarding the somatometric features.
Varicocele, being the most common inguinoscrotal pathology in adolescent age, was found to be highly correlated with age, height, and BMI.
调查青少年稳定人群中腹股沟阴囊疾病的患病率以及精索静脉曲张与一些身体测量特征之间的关联。
评估了2002年至2009年期间对一所军事学院12581名初级军官学员候选人进行检查的计算机化数据库，并在身体状况相对稳定的组中评估腹股沟阴囊疾病的患病率以及精索静脉曲张与体重、身高和体重指数（BMI）的关系。
在申请人中，1424人（11.32%）至少患有一种腹股沟阴囊疾病。包括接受手术治疗的患者，最常见的疾病是精索静脉曲张（5.96%），其中98%为左侧，其次是腹股沟疝（3.85%），主要位于右侧（55.5%），以及隐睾（0.76%）。年轻申请人比年长组更易有较低的BMI（P = 0.0001）和精索静脉曲张（P = 0.036）。精索静脉曲张的存在与身高显著相关（P = 0.0001），与BMI呈负相关（P = 0.0001），但与体重无关（P = 0.08）。逻辑回归分析表明，在这个身体测量特征相对同质的人群中，较低的年龄和较高的身高是精索静脉曲张发生的显著预测因素。
精索静脉曲张是青少年年龄组中最常见的腹股沟阴囊疾病，被发现与年龄、身高和BMI高度相关。
