Pediatric Varicocele - Cases
Mid-Atlantic AUA Annual Meeting
Homestead 2016
Hot Springs, VA
Case 2
Case 1
4/2014
- 12 yo Tanner 4 male
- Asymptomatic
- Left grade 2 varicocele
- Orchidometer - symmetric
- TUS:
- TTV 8 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%
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
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%