Varicocele in children Çocukluk çağında varikosel


Çağlar Oskaylı M., Özen M. A. , Ulukaya Durakbaşa Ç. , Mutuş M., Korkmaz M., Kaymakçı A., ...More

Goztepe Tip Dergisi, vol.29, no.3, pp.172-175, 2014 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 3
  • Publication Date: 2014
  • Doi Number: 10.5222/j.goztepetrh.2014.172
  • Title of Journal : Goztepe Tip Dergisi
  • Page Numbers: pp.172-175
  • Keywords: Adolescent, Complication, Surgical technique, Varicocele

Abstract

© 2014, Logos Medical Publishing. All Rights Reserved.Objective: Varicocele is not common in childhood. It is generally considered as a disease of the adolescence. This study aims to evaluate the patients operated on for varicocele in a pediatric surgical clinic. Material and Methods: The patient file records were retrospectively evaluated for operations for inguinal pathologies pertaining to the years 2001-2010. The patient ages, symptoms, involved side and Doppler ultrasonography (US) findings, operations performed and complications were recorded for those with varicoceles. Results: The diagnosis of varicocele patients was made in 0.5 % of all patients operated on for various inguinal pathologies during this period. There were 28 patients with 31 involved sides. Mean age of the patients was 13 (11-17) years. The left side was involved in 24, the right in one and both sides in three patients. The principal complaints were scrotal swelling, scrotal pain and inguinal pain and/or local discolorisation in descending order of frequency. Based on the preoperative US records that were available at the time of this study, grades 4 (2 sides), 3 (5 sides), 2 (one side), and 1 (3 sides) varicoceles were detected. The operative technique was inguinal (Ivanissevich) approach in 21 patients with 24 involved sides, and retroperitoneal (Palomo) technique in 7 patients with 7 involved sides. No short term complications occurred. Long term follow-up was available in 14 patients. Among these, two (14%) patients had recurrences, and both had undergone repair by Palomo technique. A re-operation was done for both, one by Palomo and one by Ivanissevich technique. In one patient who had been operated using Ivanissevich method hydrocele developed which was treated by hydrocelectomy. Conclusion: For pediatric surgeons, varicocele operations are relatively rarely practiced. The most common surgical complications are recurrence and hydrocele development. Because the number of patients followed-up on a long term basis is limited in the present series, strict conclusions could not be withdrawn. On the other hand, the complications occurred in patients whose spermatic arteries and veins were ligated.