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Pediatric Varicocele - Cases

Mid-Atlantic AUA Annual Meeting

Homestead 2016

Hot Springs, VA

Case 2

Case 1

Observation

4/2014

  • 12 yo Tanner 4 male
  • Asymptomatic
  • Left grade 2 varicocele
  • Orchidometer - symmetric
  • TUS:
  • TTV 8 mL
  • no TVdiff

10/2010

  • TUS:
  • TTV 6.4 mL
  • no TVdiff

6/2010

  • 12 yo early Tanner 3 male
  • Left grade 2 varicocele
  • Asymptomatic
  • Orchidometer - symmetric

7/2015

  • Tanner 3
  • Asymptomatic
  • Orchidometer
  • R 5 mL, L 4 mL
  • TUS:
  • TTV 9.5 mL
  • TV diff 37.5%

Observation

Case 1

8/2011

  • Pain
  • TUS:
  • TTV 6.2 mL
  • no TVdiff

Plan?

11/2011

  • Lap left varicocele repair
  • Artery and lymphatic sparing

12/2011

  • No pain
  • TUS:
  • TTV 8mL
  • no TVdiff

2/2012

  • Recurrence of varicocele and pain

Plan?

Case 2

10/2011

  • Unable to participate in band 2/2 pain

Plan?

6/2016

  • Tanner 3
  • Asymptomatic
  • Orchidometer
  • R 5 mL, L 4 mL
  • TUS:
  • TTV 9.5 mL
  • TV diff 37.5%
  • R 5.5 mL
  • L 4 mL

Plan?

Observation

5/2012

IR: left gonadal vein embolization

11/2012

  • No pain
  • Tanner 5
  • TUS:
  • TTV 21 mL
  • no TVdiff

8/2016

  • Lap left varicocelectomy
  • Artery and lymphatic sparing

10/2016

  • 14 yo Tanner 4 male
  • Resolution of varicocele
  • Asymptomatic
  • Orchidometer
  • R 5 mL, L 4 mL
  • TUS:
  • TTV 10 mL
  • TV diff 37.5%
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