SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
Creative Commons CC BY-NC-ND 4.0 International License.

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Original Article
Microsurgical varicocelectomy in pediatric and adolescent patients with varicocele: a single-center experience
Abstract
Aims: Varicoceles, which can occur in children, are known to cause male infertility, testicular pain, and testicular atrophy. Their treatment is primarily surgical—in adults, microsurgery is the standard treatment; however, in children, laparoscopic surgery is widely performed. This study aimed to evaluate the efficacy of microsurgery in patients with varicoceles aged <=18 years.
Methods: The retrospective study was conducted from December 2016 to April 2025 and included male patients aged <=18 years who underwent microsurgical varicocelectomy at Yokohama City University Medical Center. The summary statistics were calculated.
Results: The median age of this study’s 36 participants was 15 years, and the most common symptoms were testicular pain (25 cases) and scrotal swelling (11 cases). The mean right and left testicular volumes were 15.3 mL and 14.2 mL, respectively, with no significant difference between them (p = 0.09). There were 12 cases with a difference in testicular volume of >=2 mL or >=20% between the affected and unaffected sides. The median number of veins ligated was 11. Two arteries and the three lymphatic vessels as the median were preserved, respectively. The chief complaint—testicular pain or swelling—was resolved in all cases.
Conclusion: Varicoceles can develop in childhood and may cause scrotal pain, testicular atrophy, and male infertility. Microsurgical varicocelectomy may be a safe and effective treatment option for children with varicocele.

Keywords : Varicocele, pediatrics, adolescent, varicocelectomy

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Article available in :
Volume 2, Issue 4, 2025
Page : 136-140
https://doi.org/10.51271/SOC-0052
Article Information
Received : 15 Ağu 2025
Accepted : 11 Eyl 2025
Published : 01 Eki 2025
Corresponding Author :

Shinnosuke Kuroda: Department of Urology, Center for Reproductive Medicine, Yokohama City University Medical Center, Yokohama, Japan

[email protected]
Citation : Karibe J, Kuroda S, Takeshima T, Yumura Y. Microsurgical varicocelectomy in pediatric and adolescent patients with varicocele: a singlecenter experience. Surg Child. 2025;2(4):136-140.

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