Garcia-Roig Michael L, Kirsch Andrew J
Department of Pediatric Urology, Children's Healthcare of Atlanta, Emory University School of Medicine, 5445 Meridian Mark Rd, Suite 420, Atlanta, GA, 30342, USA.
Pediatr Surg Int. 2015 Jul;31(7):617-25. doi: 10.1007/s00383-015-3698-8. Epub 2015 Apr 19.
Adolescent varicocele is associated with ipsilateral testicular hypotrophy and the concern for future infertility. A testicular size discrepancy greater than 15-20 % between left and right testicle is an indication for treatment to allow catch-up growth in the hope of preventing a future decline in fertility. Some authors advocate for a period of watchful waiting, as normal testicular growth may occur asymmetrically. We review the current literature to highlight some controversies and challenges in management.
青少年精索静脉曲张与同侧睾丸萎缩以及对未来不育症的担忧有关。左右睾丸大小差异大于15% - 20%是进行治疗的指征，以便实现追赶性生长，有望防止未来生育能力下降。一些作者主张进行一段观察等待期，因为正常的睾丸生长可能不对称发生。我们回顾当前文献以突出管理方面的一些争议和挑战。
