Is adolescent varicocele a progressive disease process?

David A. Diamond, David Zurakowski, Anthony Atala, Stuart B. Bauer, Joseph G. Borer, Bartley G. Cilento, Harriet Paltiel, Craig A. Peters, Alan B. Retik, Kenneth Glassberg, Yves Homsy, Michelle Clement

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Purpose: We determined whether there was evidence of progression in either varicocele grade or testicular volume differentials over time in our adolescent varicocele population. Materials and Methods: A total of 41 boys 7.3 to 19 years old (mean age 13.7, SD 2.5) were seen at sequential visits. At each visit varicocele grade was determined by the attending urologist and ultrasound calculated testicular volume differential was determined by an attending ultrasonographer. A senior staff statistician performed statistical analysis of the sequential data. Results: The varicocele grade data were analyzed using the nonparametric Wilcoxon test and no significant evidence of progression on sequential visits was demonstrated. Similarly, the serial volume differential data were assessed using the paired t test and no significant evidence for progression of testicular volume differentials was demonstrated. Conclusions: In our study population neither varicocele grade nor change in testicular volume differentials increased over time in a statistically significant manner. These results argue against the concept that adolescent varicocele is a progressive disease process.

Original languageEnglish (US)
Pages (from-to)1746-1748
Number of pages3
JournalJournal of Urology
Volume172
Issue number4 II
DOIs
StatePublished - Oct 2004

Keywords

  • Adolescent
  • Varicocele

ASJC Scopus subject areas

  • Urology

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