精索静脉曲张及其对睾酮的影响：对青少年的意义。
Varicocele and its effect on testosterone: implications for the adolescent.
作者信息
Alkaram Ahmed, McCullough Andrew
机构信息
Albany Medical College, Albany, New York, USA.
出版信息
Transl Androl Urol. 2014 Dec;3(4):413-7. doi: 10.3978/j.issn.2223-4683.2014.12.07.
Abstract
The treatment of varicoceles in adolescents is highly controversial. In contrast to adults with varicocele, fertility status is not yet known and it is not generally feasible to obtain a semen analysis in adolescents in order to guide treatment. Hence, the principal indication for surgery in teenagers is hypotrophy/atrophy of the left testis associated with a varicocele. Recent evidence in adults suggests that varicocele may be a cause of hypogonadism. If this is further documented in adults, it may be true in teens as well and indeed, might be an indication for early surgery. This is an important area for research in adolescents with a varicocele.
摘要
青少年精索静脉曲张的治疗极具争议性。与成年精索静脉曲张患者不同，青少年的生育状况尚不清楚，而且为了指导治疗而对青少年进行精液分析通常不可行。因此，青少年手术的主要指征是与精索静脉曲张相关的左侧睾丸发育不良/萎缩。成人的最新证据表明，精索静脉曲张可能是性腺功能减退的一个原因。如果在成人中能进一步证实这一点，那么在青少年中也可能如此，实际上，这可能是早期手术的一个指征。这是精索静脉曲张青少年研究的一个重要领域。
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