Keywords
Varicocele; Adolescent; BMI; Obesity
Abstract
Introduction: Varicocele is a dilatation of the venous pampiniform plexus considered the leading cause of correctible male infertility. It affects 15% of the adolescent population. Over 90% of cases are located on the left hemiscrotum. The treatment is surgical and several methods have been described which main goal is to improve the potential for future fertility. Varicocele etiology remains controversial and there have been several studies that reports varicoceles are found less frequently in obese adolescents but yet, relationship between varicocele and BMI is controversial.
Matherial and Methods: We analyzed patients with varicocele surgical correction in our centre in the last 10 years. At our institution all patients were treated by Palomo technique open or laparoscopic. We analyzed: age, location and degree of varicocele, weight and height, surgical technique, appearance of reactive hydrocele or others complications, varicocele recurrence and reoperation. Our objective is studying the relationship between IMC and varicocele in adolescent boys.
Conclusion: We observed varicocele in our serie was found more frequently in taller patients and less frequently in obese patients (higher BMI). Future studies will be needed to confirm that theory and to understand varicocele etiology but we consider that this fact is very useful because we are talking about a pathology with repercussion in fertility so we must be alert about it in adolescent population to correct it.
Citation
Miguez Fortes L, García González M, Casal Beloy I, and Dargallo Carbonell T. Varicocele and BMI: Are Varicoceles More Frequent in Tall and Thin Adolescents. SM J Pediatr Surg. 2018; 4(4): 1072.