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MICROSURGICAL VARICOCELECTOMY IN PRE-PUBERTAL CHILDREN: SAFETY, EFFICACY, AND REPRODUCTIVE IMPLICATIONS - A CASE REPORT AND LITERATURE REVIEW

Title: MICROSURGICAL VARICOCELECTOMY IN PRE-PUBERTAL CHILDREN: SAFETY, EFFICACY, AND REPRODUCTIVE IMPLICATIONS - A CASE REPORT AND LITERATURE REVIEW
Authors: Syarif Bakri; Abdul Azis; Ahmad Taufik Fadillah Zainal; Saidah Rahmat A.; Moh Anfasa Giffari Makkaraka
Source: Jurnal Urologi Indonesia, Vol 32, Iss 3 (2025)
Publisher Information: IKATAN AHLI UROLOGI INDONESIA
Publication Year: 2025
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: Microsurgical ligation; varicocele; children; Diseases of the genitourinary system. Urology; RC870-923
Description: Objective: In this report, we aim to present a case of a prepubertal child with left varicocele who underwent successful microsurgical ligation. Case(s) Presentation: A 9-year-old boy was admitted to urology clinic due to his parents complaint about a mass in his left scrotum. We diagnosed this patient with grade III varicocele (Dubin-Amelar classification). The patient underwent microsurgical ligation surgery. After surgery, the mass such as "bag of worms" disappeared and the testicular volume increased by 53% from preoperative volume (1.8 to 2.3 cc). Discussion: The results of this case report indicate that microsurgical ligation of varicocele in children is a safe and effective therapeutic option. Conclusion: Microsurgical ligation of varicocele in pre-pubertal children represents a safe and effective therapeutic option, offering symptom relief and potential preservation of future fertility. Further studies are warranted to elucidate the long-term outcomes and reproductive implications of microsurgical varicocelectomy in this population. Keywords: Microsurgical ligation, varicocele, children.
Document Type: article in journal/newspaper
Language: English
Relation: http://www.urologi.or.id/juri/juri/article/view/1038; https://doaj.org/toc/0853-442X; https://doaj.org/toc/2355-1402; https://doaj.org/article/b7490f622f8d47eba46d321af8d9283c
DOI: 10.32421/juri.v32i3.1038
Availability: https://doi.org/10.32421/juri.v32i3.1038; https://doaj.org/article/b7490f622f8d47eba46d321af8d9283c
Accession Number: edsbas.7C92F245
Database: BASE