Abstract
In a previous comunication we described the changes in testicular volume (T.Vol.) and the gonedotropin response before and after the Gn-RH test in children and adolescents with varicooele. In this study we will be analyzing the T. Vol. and the hormonal parameters of 16 patients who underwent surgical correction of the varicooele, pubertal changes in these patients were classified according to the criteria of Marshall and Tanner: 5, Grade I;6 Grade 2-3 and 5, Grade 4-5. Testicular volume (T.Vol) before and after surcery (ml):
Surgical treatment of the varicooele leads to an improvement of testicular volume and testosterone, specially in Tanner's stage (2-3), as well as a decrease in the response of LH after the administration of Gn-RH in higher Tamer's stage (4-5). Althought the outcome of fertility of children and adolescents with a varicooele in adulthood is unknown, the normalization of the T.Vol. and the integrity of the hypothalamic pituitary-testicular axis in our patients after surgery of varicooele suggests the importance of this early procedure.
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Gottlieb, S., Podesta, M., Madel, M. et al. 6 TESTICULAR GROWTH AND HORMONAL PARAMETERS BEFORE AND AFIER SURGICAL CORRECTION OF CHILDREN AND ADOLESCENTS WITH VARICOCELE. Pediatr Res 32, 250 (1992). https://doi.org/10.1203/00006450-199208000-00029
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DOI: https://doi.org/10.1203/00006450-199208000-00029