RAMAZAN ALTINTAŞ, ALİ BEYTUR, FATİH OĞUZ, Caner Ediz, Ali GÜNEŞ

Adölesan varikoselin klinik görünümü ve belirtilerin önemi

Amaç: Kliniğimize başvurup adölesan varikosel nedeniyle opere edilen hastaların klinik görünümü ve mevcut şikayetlerin görülme sıklığını değerlendirdik ve hastalık sürecinde bu şikayetlerin önemini belirledik.Gereç ve Yöntemler: 1995 ile 2012 yılları arasında varikosel nedeniyle cerrahi tedavi yapılmış olan 18 yaş altındaki hastaların kayıtlarını geriye dönük inceledik.Bulgular: Varikosel hastalığından dolayı 71 hastaya ortalama yaş 16.4, 11-18 yaş aralığında cerrahi müdahale yapıldı. Ağrı şikayeti varikosel cerrahisi yapılan hastaların ana geliş nedeniydi, 46 çocukta %58.2 sadece ağrı, 14 çocukta %17.7 sadece kozmetik, 7 çocukta sadece şişlik, 7 çocukta ağrı ve kozmetik, 5 çocukta ağrı ve şişlik şikayeti vardı. Klinik evre aritmetik ortalaması grup 1’de sadece ağrı en düşük iken, grup 3’de sadece şişlik en yüksekti. sırasıyla 2.11 ve 2.71 Sonuç: Ağrı şikayeti adölesan yaş grubunda varikosel nedeniyle cerrahi yapılanlarda ana sebepti. Kozmetik ve şişlik şikayetleri olan varikosel hastalarında ortalama klinik evre ağrı şikayeti olan hastalara göre daha yüksekti ve bu ağrı şikayetinin hastaların doktora erken gelmesine neden olduğunu gösterir. Belli bir ağrı şikayeti yokken, ebeveynin bilinçli olması teşhisin erken konulmasında önemli bir payı oluşturur. Ebeveynlerin eğitimi ve bilgilendirilmesiyle, daha iyi sonuçlar elde edilebilir

Anahtar Kelimeler:

Adölesan Varikosel, Klinik Görünüm, Şikayetler

Clinical presentation of adolescent varicocele and importance of symptoms

Objectives: We evaluated the clinical presentation and proportion of presenting symptoms of patients operated due to adolescent varicocele in our clinic, and assessed the importance of the presenting symptoms for progression of the disease. Materials and Methods: Clinical records of patients younger than 18 years old underwent surgical treatment for varicocele between 1995 and 2012 were reviewed retrospectively. Results: Seventy-one patients mean age 16.4, range 11 to 18 underwent surgery due to varicocele disease. Pain complaint was the most common presenting symptom of the patients underwent varicocele surgery, 46 boys 58.2% had only pain, 14 boys 17.7% had only cosmetic complaint, 7 boys 8.8% had only swelling, 7 boys 8.8% had pain+cosmetic, 5 boys 6.3% had pain+swelling symptoms. While the arithmetic mean of clinical grade was lowest in group 1 pain only , it was highest in group 3 swelling only 2.11 vs. 2.71, respectively .Conclusion: The pain symptom was the main reason for the varicocele surgery performed in adolescent age group. Mean clinical grades of varicocele of patients with cosmetic and swelling symptoms were higher than that of the patients with pain symptom and this means that the pain complaint causes the patient coming early to the doctor. While there is no particular pain symptom, parental awareness constitutes an important part of the early diagnosis. With training and informing parents, the better results can be achieved

Keywords:

Adolescent Varicocele, Clinical Presentation, Symptoms,

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