Varicocelectomy (I)

  • Job K. Chacko
  • Al Baha Barqawi
  • Jesse N. Mills
  • Martin A. Koyle


The adolescent varicocele is a common entity with an incidence of 15% to 16% at age 10 to 15 years.1,2 In the adult population, varicocele is a common entity among subfertile men and is thought to be a reversible cause of infertility.3 The primary indication for varicocele correction in adolescence is the presence of testicular “hypotrophy” of the testis ipsilateral to the varicocele. The correction of varicocele in adolescence has been shown to improve both atrophy of the testicle and semen parameters.4


Laryngeal Mask Airway Semen Parameter Common Entity Basic Laparoscopic Skill Abnormal Semen Parameter 
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  1. 1.
    Kass EJ, Belman AB. Reversal of testicular growth failure by varicocele ligation. J Urol 1987;137: 475–476.PubMedGoogle Scholar
  2. 2.
    Jarow JP. Effects of varicocele on male fertility. Hum Reprod Update 2001;7:59–64.PubMedCrossRefGoogle Scholar
  3. 3.
    Okuyama A, Nakamura M, Namiki M et al. Surgical repair of varicocele at puberty: preventative treatment for fertility improvement. J Urol 1988;139: 562–564.PubMedGoogle Scholar
  4. 4.
    Koyle M, Oottamasathien S, Barqawi A, Rajimwale A, Furness III P. Laparoscopic Palomo varicocele ligation in children and adolescents: results of 103 cases. J Urol 2004;172:1749–1752.PubMedCrossRefGoogle Scholar
  5. 5.
    Barqawi A, Furness III P, Koyle M. Laparoscopic Palomo varicocelectomy in the adolescent is safe after previous ipsilateral inguinal surgery. Br J Urol Int 2002;89:269–272.Google Scholar

Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Job K. Chacko
    • 1
  • Al Baha Barqawi
    • 2
  • Jesse N. Mills
    • 3
  • Martin A. Koyle
    • 4
    • 5
  1. 1.Division of Urology Department of SurgeryThe University of Colorado at Denver and Health Sciences CenterDenverUSA
  2. 2.Section of Urological OncologyThe University of Colorado at Denver and Health Sciences CenterDenverUSA
  3. 3.Division of Urology Department of Surgery The Children’s HospitalThe University of Colorado at Denver and Health Sciences CenterDenverUSA
  4. 4.Division of UrologyThe University of ColoradoDenver
  5. 5.Health Sciences Center Department of Pediatric UrologyThe Children’s HospitalDenverUSA

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