Varicocele in adolescent: a literature review

Varicocele is mostly asymptomatic, rarely causing pain at this age. The guidelines for managing varicocele in adolescent are not fully elicited, but the major surgical indications are testicular loss of volume followed by testicular pain. Young adult males with varicoceles, who have normal semen parameters, may be at risk for progressive testicular dysfunction and should be offered monitoring with semen analyses every one to two years. No study has detailed the influence of pediatric and adolescent varicocelectomy on testicular volume according to age. This review article describes the varicocele during adolescent. An electronic search has been conducted, during 2016, via PubMed and Medline database English literature. Peer-reviewed articles were targeted following key-words have been used: Varicocele, Children and Adolescent. Available full-text articles were read. Related articles were also scrutinized. Hand search was also driven.