Chung Jae Min, Lee Sang Don
Department of Urology, Pusan National University School of Medicine, Yangsan, Korea.
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
World J Mens Health. 2018 May;36(2):123-131. doi: 10.5534/wjmh.170053. Epub 2018 Mar 22.
While varicocele is the most common cause of surgically correctable infertility in adult males, with repair resulting in improved semen parameters in 60% to 80% of men and a higher likelihood of conception in up to 60% of men, the rationale for varicocele repair in the pediatric population is less clear. Additionally, prepubertal varicoceles are much less common and their management is controversial. Adolescents with a varicocele are often in the midst of a progressive disease process. Despite the high prevalence of varicocele and its association with progressive disease processes, the indications for adolescent varicocele repair and the effects thereof on paternity have been persistently challenging to study. This review will briefly present some of the current issues regarding adolescent varicocele from a pediatric urological point of view, including the evaluation of adolescent varicocele, the optimal surgical indications, the optimal choice of surgical intervention to be performed, and outcomes.
虽然精索静脉曲张是成年男性手术可矫正不孕症的最常见原因，修复后60%至80%的男性精液参数得到改善，高达60%的男性受孕可能性更高，但小儿精索静脉曲张修复的基本原理尚不清楚。此外，青春期前精索静脉曲张要少见得多，其治疗存在争议。患有精索静脉曲张的青少年往往处于疾病进展过程中。尽管精索静脉曲张患病率很高且与疾病进展过程有关，但青少年精索静脉曲张修复的指征及其对生育的影响一直是研究中的难题。本综述将从小儿泌尿外科的角度简要介绍一些有关青少年精索静脉曲张的当前问题，包括青少年精索静脉曲张的评估、最佳手术指征、要进行的手术干预的最佳选择以及结果。
