Adolesan varikoselin değerlendirilmesi

Adolesanlarda varikosel oluşumu testisin büyümeye başlamasıyla birliktedir ve sıklığı erişkin populasyona oldukça benzer niteliktedir. Bu yaş grubunda da tanıda altın standart fizik muayenedir. Testiküler hipotrofı her iki testis arasında 2 mL yada %20'den fazla volüm farkı olarak tanımlanmaktadır ve bu tedaviye karar vermede temel unsur olarak kullanılmaktadır. Tedavide optik büyütme ile uygulanan inguinal veya subinguinal yaklaşım optimal tedavi yaklaşımıdır. Varikoselektomi ile testis volümündeki düzelme yaşa bağlı olmakla beraber postoperatif semen ve hormon parametrelerinde anlamlı düzelmeler sağlanabilmektedir.

Anahtar Kelimeler:

Testis hastalıkları, Varikosel, Ergen, Mikrocerrahi

Management of adolescent varicocele

Development of varicocele in adolescents is accompanied with testicular growth and its prevelence is similar to adults. Physical examination is the gold standard diagnostic method in this age group, too. Testicular hypotrophy is defined as 20% or 2 ml volume difference between two testicles. This situation is used as a basic condition to decide treatment. Inguinal or subinguinal approach under optical magnification is the optimal treatment method. Although testicular volume regeneration following varicolcelectomy is depending on age, significant improvement can be approached in postoperative semen and hormonal parameters.

Keywords:

Testicular Diseases, Varicocele, Adolescent, Microsurgery,

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