Berger O G
Clin Pediatr (Phila). 1980 Dec;19(12):810-1. doi: 10.1177/000992288001901205.
Easily detectable varicocele occurs in approximately 10 percent of boys during puberty, usually on the left side. Discomfort is unusual, and this condition is often unrecognized by boys and their physicians. Even when aware of the scrotal mass, adolescent males may not seek consultation; therefore detection on routine examination provides the opportunity for reassurance and planning follow-up. Varicoceles may be associated with reduced testicular volume and decreased semen quality. The favorable effects of spermatic vein ligation have been demonstrated in men with infertility. In the absence of prospective, controlled studies concerning the optimal management of asymptomatic varicocele in adolescent patients and parents may be made aware of possible subsequent infertility. At this time, adolescents with symptomatic or secondary varicocele should be considered for urologic management.
青春期男孩中约10%会出现易于察觉的精索静脉曲张，通常发生在左侧。不适症状并不常见，这种情况往往未被男孩及其医生所认识。即使意识到阴囊有肿块，青少年男性也可能不会寻求咨询；因此，在常规检查中发现可为安心和后续随访计划提供机会。精索静脉曲张可能与睾丸体积减小和精液质量下降有关。精索静脉结扎术对不育男性的有益效果已得到证实。由于缺乏关于青少年无症状精索静脉曲张最佳治疗方案的前瞻性对照研究，应告知患者及其父母可能出现的后续不育问题。此时，有症状或继发性精索静脉曲张的青少年应考虑接受泌尿外科治疗。
