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LETTER TO EDITOR  
Year : 2011  |  Volume : 21  |  Issue : 1  |  Page : 69
Testicular volume in adolescent varicocele


Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

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Date of Web Publication22-Jan-2011
 

How to cite this article:
Baishya RK, Dhawan DR, Sabnis R, Desai MR. Testicular volume in adolescent varicocele. Indian J Radiol Imaging 2011;21:69

How to cite this URL:
Baishya RK, Dhawan DR, Sabnis R, Desai MR. Testicular volume in adolescent varicocele. Indian J Radiol Imaging [serial online] 2011 [cited 2019 Nov 21];21:69. Available from: http://www.ijri.org/text.asp?2011/21/1/69/76064
Dear Sir,

Adolescent varicocele is a common finding. 7.8-14.1% of male adolescents are found to have varicoceles, which are mostly left sided and asymptomatic. [1] Prophylactic management of varicocele in adolescents lacks literature support, although a decline in the testicular volume over time of >20% calls for intervention. [2] The routine use of an orchidometer to determine testicular growth impairment is limited by its relative insensitivity to assess precise volume variations. USG is a viable alternative and preferred modality for a routine annual follow-up, as it can accurately record sequential growth alterations. [3] We retrospectively evaluated the last 100 patients of adolescent varicocele referred to us. We found that the testicular volume was not available in the USG reports of 71% of these patients. Repeating the USG increases costs.

I have written this letter with the hope of raising awareness among radiologists and ultrasonologists of the need to record testicular volumes in all adolescents who present with varicocele in their USG reports.

 
   References Top

1.Oster J. Varicocele in children and adolescents. An investigation of the incidence among Danish school children. Scand J Urol Nephrol 1971;5:27-32  Back to cited text no. 1
    
2.Robinson SP, Hampton LJ, Koo HP. Treatment strategy for the adolescent varicocele. Urol Clin North Am 2010;37:269-78.  Back to cited text no. 2
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3.Diamond DA, Paltiel HJ, DiCanzio J, Zurakowski D, Bauer SB, Atala A, et al. Comparative assessment of pediatric testicular volume: Orchidometer versus ultrasound. J Urol 2000;164:1111-4.  Back to cited text no. 3
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Correspondence Address:
Mahesh R Desai
Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.76064

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Indian Journal of Radiology and Imaging. 2011; 21(1): 70
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