Pozza D, Gregori A, Ossanna P, Amodeo S, Malizia S, Marchionni L
Studio di Andrologia e di Chirurgia Andrologica, Rome, Italy.
J Androl. 1994 Nov-Dec;15 Suppl:43S-46S.
In order to consider the possibility of avoiding seminal disorders induced by varicocele at puberty, we evaluated 200 patients who were operated on for left varicocele at adolescence. Seventy-five of our 200 adolescent patients had evaluations of seminal fluid prior to their varicocelectomy. Of these patients, 75 were re-evaluated at the age of 21. In this latter group of patients, we observed 24 cases of hydrocele (32%) and 9 cases of varicocele recurrence (12%). These data were compared to 75 patients first presenting with a varicocele at 21-25 years of age. If we exclude the cases with azoospermia, we observed the presence of altered seminal fluid in 35 (46.7%) of the operated at adolescence patients and in 42 (56%) of the adult patients with varicocele. These data support the hypothesis that operating on patients in adolescence may result in maintenance of fertility potential.
为了探讨青春期精索静脉曲张手术预防精液异常的可能性，我们对200例青春期接受左侧精索静脉曲张手术的患者进行了评估。在这200例青春期患者中，75例在精索静脉曲张手术前接受了精液评估。这些患者中，75例在21岁时再次接受评估。在这组后期患者中，我们观察到24例鞘膜积液（32%）和9例精索静脉曲张复发（12%）。这些数据与75例21 - 25岁首次出现精索静脉曲张的患者进行了比较。如果排除无精子症病例，我们观察到青春期手术患者中有35例（46.7%）精液异常，成年精索静脉曲张患者中有42例（56%）精液异常。这些数据支持了青春期对患者进行手术可能有助于维持生育潜力的假说。
