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Adolesan Varikosele Güncel Yaklaşımlar

Yıl 2019, Cilt: 11 Sayı: 3, 489 - 492, 23.10.2019
https://doi.org/10.18521/ktd.594026

Öz

ÖZET

Varikosel, adolesan yaş grubunda da erişkin yaş grubuna benzer sıklıkta görülmektedir. İnfertiliteye neden olabileceği için tanı ve tedavisinde dikkatli ve titiz olunmalıdır. Genel olarak adolesan varikosellerinde fertiliteyi korumak ve testis fonksiyonlarının korunması için yüksek derecede varikosel ya da testis volümünde % 20 azalma cerrahi endikasyon olarak kabul görmektedir. Bu nedenle adolesan varikoseli olan hastaların testis volümleri seri ultrason ölçümleri ve muayene ile yakından takip edilmelidir. Ergenlik döneminden sonra spermiyogram takibi de seri ultrason ölçümleri takipte önemli katkılar sağlar. Cerrahi tedaviden elde edilen başarı nedeniyle bu yaş grubunda tanısı oldukça önemlidir. Bu çalışma da adolesan varikosel tanı ve tedavisi incelenmiştir.

Kaynakça

  • Dubin L. Amelar RD. Etiologic factors in 1294 consecutive cases of male infertility.Fertil Steril. 1971;22: 469–474.
  • Nagler HM, Luntz RK, Martinis FG. Varicocele. In: Lipshultz LI, Howards SS, eds. Infertility in the Male. 3rd ed. St Louis, Missouri: Mosby‐Year Book; 1997: 336–359.
  • Akbay E, Cayan S, Doruk E, et al. The prevalence of varicocele and varicocele-related testicular atrophy in Turkish children and adolescents. BJU Int 2000;86:490-493.
  • Pintus C, Rodriguez Matas MJ, Manzoni C, et al. Varicocele in pediatric patients: Comparative assessment of different therapeutic approaches. Urology 2001;57:154-7.
  • Baazeem A, Belzile E, Ciampi A, et al. Varicocele and male factor infertility treatment: A new meta-analysis and review of the role of varicocele repair. Eur Urol 2011;60:796-808.
  • Paduch DA, Skoog SJ. Diagnosis, evaluation and treatment of adolescent varicocele. ScientificWorldJournal 2004;4 Suppl 1:263-78.
  • Stassen CM, Weil EH, Janevski BK. Left renal vein compression syndrome (“nutcracker phenomenon”). RoFo 1989;150:708-10.
  • Green KF, Turner TT, Howards SS. Varicocele: Reversal of the testicular blood flow and temperature effects by varicocele repair. J Urol 1984;131:1208-11
  • Micic S, Illic V, Isvaneski M. Correlation of hormone and histologic parameters in infertile men with varicocele. Urologia Internationalis 1983;38:187-90.
  • Naughton CK, Nangia AK, Agarwal A. Pathophysiology of varicoceles in male infertility. Hum Reprod Update 2001;7:473-81.
  • Vanlangenhove P, Dhondt E, Everaert K, et al. Pathophysiology, diagnosis and treatment of varicoceles: a review. Minerva Urol Nefrol. 2014 Dec;66(4):257-82. Epub 2014 Nov 14.
  • C. Radmayr, G. Bogaert, H.S. Dogan, et al. Guidelines on Paediatric Urology EAU Update March 2018 pg29-31
  • Dubin L, Amelar RD. Varicocele size and results of varicocelectomy in selected subfertile men with varicocele. Fertil Steril. 1970 Aug;21(8):606-9.
  • de Los Reyes T, Locke J, Afshar K. Varicoceles in the pediatric population: Diagnosis, treatment, and outcomes. Can Urol Assoc J. 2017 Jan-Feb;11(1-2Suppl1):S34-S39.
  • Taşçi A, Resim S, Caşkurlu T, et al. Color doppler ultrasonography and spectral analysis of venous flow in diagnosis of varicocele. Eur Urol. 2001 Mar;39(3):316-21.
  • Sakamoto H, Saito K, Oohta M, et al. Testicular volume measurement: Comparison of ultrasonography, orchidometry, and water displacement. Urology 2007;69:152-7.
  • Diamond DA, Zurakowski D, Bauer SB, et al. Relationship of varicocele grade and testicular hypotrophy to semen parameters in adolescents. J Urol 2007;178:1584-8.
  • Skoog SJ, Roberts KP, Goldstein M, et al. The adolescent varicocele: What’s new with an old problem in young patients? Pediatrics 1997;100:112-21.
  • Cayan S, Woodhouse CR. The treatment of adolescents presenting with a varicocele. BJU Int. 2007 Oct;100(4):744-7.
  • Kogan, S.J. The pediatric varicocele., in Pediatric urology, J.P. Gearhart, R.C. Rink & P.D.E. Mouriquand, Editors. 2001, WB Saunders: Philadelphia.
  • Cervellione RM, Corroppolo M, Bianchi A. Subclinical varicocele in the pediatric age group. J Urol 2008;179:717-9.
  • Bogaert G, Orye C, De Win G. Pubertal screening and treatment for varicocele do not improve chance of paternity as adult. J Urol 2013;189:2298-303.
  • Li, F.,Chiba K, Yamaguchi K, et al. Effect of varicocelectomy on testicular volume in children and adolescents: a metaanalysis. Urology, 2012. 79: 1340.
  • Nork JJ, Berger JH, Crain DS, Christman MS. Youth varicocele and varicocele treatment: a meta-analysis of semen outcomes. Fertil Steril. 2014 Aug;102(2):381-387.
  • Locke JA , Noparast M, Afshar K. Treatment of varicocele in children and adolescents: A systematic review and meta-analysis of randomized controlled trials. J Pediatr Urol. 2017 Oct;13(5):437-445.
  • Bedir F, Keskin E, Karabakan M, et al. Evaluation of testicular catch-up growth in adolescent microsurgical varicocelectomy. Turk J Urol. 2017 Jun;43(2):135-140.
  • Çayan S, Şahin S, Akbay E. Paternity Rates and Time to Conception in Adolescents with Varicocele Undergoing Microsurgical Varicocele Repair vs Observation Only: A Single Institution Experience with 408 Patients. J Urol. 2017 Jul;198(1):195-201.

Current Approaches to Adolescent Varicocele

Yıl 2019, Cilt: 11 Sayı: 3, 489 - 492, 23.10.2019
https://doi.org/10.18521/ktd.594026

Öz

ABSTRACT

Varicocele has been occurred in adolescent age group with similar frequency as adult age group. As it may cause infertility, careful and meticulous care should be taken in the diagnosis and treatment. In general, a high degree of varicocele or a 20% decrease in testicular volume is accepted as surgical indication in adolescent varicoceles to preserve fertility and maintain testicular function. Consequently, testicular volumes of patients with adolescent varicocele should be closely monitored by serial ultrasound measurements and examination. Spermiogram follow-up after adolescence also provides important contributions in serial ultrasound measurements. Due to the success of surgical treatment, diagnosis is highly important at this age group. In this study, the diagnosis and treatment of adolescent varicocele was investigated.

Kaynakça

  • Dubin L. Amelar RD. Etiologic factors in 1294 consecutive cases of male infertility.Fertil Steril. 1971;22: 469–474.
  • Nagler HM, Luntz RK, Martinis FG. Varicocele. In: Lipshultz LI, Howards SS, eds. Infertility in the Male. 3rd ed. St Louis, Missouri: Mosby‐Year Book; 1997: 336–359.
  • Akbay E, Cayan S, Doruk E, et al. The prevalence of varicocele and varicocele-related testicular atrophy in Turkish children and adolescents. BJU Int 2000;86:490-493.
  • Pintus C, Rodriguez Matas MJ, Manzoni C, et al. Varicocele in pediatric patients: Comparative assessment of different therapeutic approaches. Urology 2001;57:154-7.
  • Baazeem A, Belzile E, Ciampi A, et al. Varicocele and male factor infertility treatment: A new meta-analysis and review of the role of varicocele repair. Eur Urol 2011;60:796-808.
  • Paduch DA, Skoog SJ. Diagnosis, evaluation and treatment of adolescent varicocele. ScientificWorldJournal 2004;4 Suppl 1:263-78.
  • Stassen CM, Weil EH, Janevski BK. Left renal vein compression syndrome (“nutcracker phenomenon”). RoFo 1989;150:708-10.
  • Green KF, Turner TT, Howards SS. Varicocele: Reversal of the testicular blood flow and temperature effects by varicocele repair. J Urol 1984;131:1208-11
  • Micic S, Illic V, Isvaneski M. Correlation of hormone and histologic parameters in infertile men with varicocele. Urologia Internationalis 1983;38:187-90.
  • Naughton CK, Nangia AK, Agarwal A. Pathophysiology of varicoceles in male infertility. Hum Reprod Update 2001;7:473-81.
  • Vanlangenhove P, Dhondt E, Everaert K, et al. Pathophysiology, diagnosis and treatment of varicoceles: a review. Minerva Urol Nefrol. 2014 Dec;66(4):257-82. Epub 2014 Nov 14.
  • C. Radmayr, G. Bogaert, H.S. Dogan, et al. Guidelines on Paediatric Urology EAU Update March 2018 pg29-31
  • Dubin L, Amelar RD. Varicocele size and results of varicocelectomy in selected subfertile men with varicocele. Fertil Steril. 1970 Aug;21(8):606-9.
  • de Los Reyes T, Locke J, Afshar K. Varicoceles in the pediatric population: Diagnosis, treatment, and outcomes. Can Urol Assoc J. 2017 Jan-Feb;11(1-2Suppl1):S34-S39.
  • Taşçi A, Resim S, Caşkurlu T, et al. Color doppler ultrasonography and spectral analysis of venous flow in diagnosis of varicocele. Eur Urol. 2001 Mar;39(3):316-21.
  • Sakamoto H, Saito K, Oohta M, et al. Testicular volume measurement: Comparison of ultrasonography, orchidometry, and water displacement. Urology 2007;69:152-7.
  • Diamond DA, Zurakowski D, Bauer SB, et al. Relationship of varicocele grade and testicular hypotrophy to semen parameters in adolescents. J Urol 2007;178:1584-8.
  • Skoog SJ, Roberts KP, Goldstein M, et al. The adolescent varicocele: What’s new with an old problem in young patients? Pediatrics 1997;100:112-21.
  • Cayan S, Woodhouse CR. The treatment of adolescents presenting with a varicocele. BJU Int. 2007 Oct;100(4):744-7.
  • Kogan, S.J. The pediatric varicocele., in Pediatric urology, J.P. Gearhart, R.C. Rink & P.D.E. Mouriquand, Editors. 2001, WB Saunders: Philadelphia.
  • Cervellione RM, Corroppolo M, Bianchi A. Subclinical varicocele in the pediatric age group. J Urol 2008;179:717-9.
  • Bogaert G, Orye C, De Win G. Pubertal screening and treatment for varicocele do not improve chance of paternity as adult. J Urol 2013;189:2298-303.
  • Li, F.,Chiba K, Yamaguchi K, et al. Effect of varicocelectomy on testicular volume in children and adolescents: a metaanalysis. Urology, 2012. 79: 1340.
  • Nork JJ, Berger JH, Crain DS, Christman MS. Youth varicocele and varicocele treatment: a meta-analysis of semen outcomes. Fertil Steril. 2014 Aug;102(2):381-387.
  • Locke JA , Noparast M, Afshar K. Treatment of varicocele in children and adolescents: A systematic review and meta-analysis of randomized controlled trials. J Pediatr Urol. 2017 Oct;13(5):437-445.
  • Bedir F, Keskin E, Karabakan M, et al. Evaluation of testicular catch-up growth in adolescent microsurgical varicocelectomy. Turk J Urol. 2017 Jun;43(2):135-140.
  • Çayan S, Şahin S, Akbay E. Paternity Rates and Time to Conception in Adolescents with Varicocele Undergoing Microsurgical Varicocele Repair vs Observation Only: A Single Institution Experience with 408 Patients. J Urol. 2017 Jul;198(1):195-201.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Dursun Baba

Muhammet Ali Kayıkçı Bu kişi benim

Yayımlanma Tarihi 23 Ekim 2019
Kabul Tarihi 31 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 11 Sayı: 3

Kaynak Göster

APA Baba, D., & Kayıkçı, M. A. (2019). Adolesan Varikosele Güncel Yaklaşımlar. Konuralp Medical Journal, 11(3), 489-492. https://doi.org/10.18521/ktd.594026
AMA Baba D, Kayıkçı MA. Adolesan Varikosele Güncel Yaklaşımlar. Konuralp Medical Journal. Ekim 2019;11(3):489-492. doi:10.18521/ktd.594026
Chicago Baba, Dursun, ve Muhammet Ali Kayıkçı. “Adolesan Varikosele Güncel Yaklaşımlar”. Konuralp Medical Journal 11, sy. 3 (Ekim 2019): 489-92. https://doi.org/10.18521/ktd.594026.
EndNote Baba D, Kayıkçı MA (01 Ekim 2019) Adolesan Varikosele Güncel Yaklaşımlar. Konuralp Medical Journal 11 3 489–492.
IEEE D. Baba ve M. A. Kayıkçı, “Adolesan Varikosele Güncel Yaklaşımlar”, Konuralp Medical Journal, c. 11, sy. 3, ss. 489–492, 2019, doi: 10.18521/ktd.594026.
ISNAD Baba, Dursun - Kayıkçı, Muhammet Ali. “Adolesan Varikosele Güncel Yaklaşımlar”. Konuralp Medical Journal 11/3 (Ekim 2019), 489-492. https://doi.org/10.18521/ktd.594026.
JAMA Baba D, Kayıkçı MA. Adolesan Varikosele Güncel Yaklaşımlar. Konuralp Medical Journal. 2019;11:489–492.
MLA Baba, Dursun ve Muhammet Ali Kayıkçı. “Adolesan Varikosele Güncel Yaklaşımlar”. Konuralp Medical Journal, c. 11, sy. 3, 2019, ss. 489-92, doi:10.18521/ktd.594026.
Vancouver Baba D, Kayıkçı MA. Adolesan Varikosele Güncel Yaklaşımlar. Konuralp Medical Journal. 2019;11(3):489-92.