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• W2157816997 abstract "No AccessJournal of UrologyPediatric Urology1 May 2014Active Surveillance of the Adolescent with Varicocele: Predicting Semen Outcomes from Ultrasound Matthew S. Christman, Stephen A. Zderic, Douglas A. Canning, and Thomas F. Kolon Matthew S. ChristmanMatthew S. Christman More articles by this author , Stephen A. ZdericStephen A. Zderic More articles by this author , Douglas A. CanningDouglas A. Canning More articles by this author , and Thomas F. KolonThomas F. Kolon More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.11.020AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We hypothesized that active surveillance of the adolescent varicocele is not associated with a high prevalence of suboptimal semen analysis and that patients with abnormal semen analysis have smaller testicular volumes and larger volume differentials. Materials and Methods: We conducted an institutional review board approved retrospective cohort study of adolescents with a clinically detected varicocele. Patients were initially observed by serial scrotal ultrasound evaluating testicular size and differential. Semen analysis was routinely collected in Tanner V cases, around age 18 years. Prevalence of normal semen analysis parameters was calculated, and logistic regression was used to model the ability of age at presentation and testicular volume parameters to predict a normal semen analysis. Results: A cohort of 73 patients underwent surveillance with a mean ± SD age at presentation of 15.5 ± 2.3 years. Median followup was 2.7 years, during which time subjects underwent a median of 3 scrotal ultrasounds. A low total motile count was found in 48 patients (66%). Neither age at presentation nor testicular volume differential could predict normal semen volume, density, sperm motility or total motile count. Total testicular volume from the final ultrasound predicted total motile count (p = 0.008). However, the collective observations of volume during the entire period of surveillance could not predict total motile count (p = 0.847). Conclusions: There is a high prevalence of suboptimal semen analysis in adolescents with a varicocele who are followed with active surveillance. Total testicular volume can predict total motile count at the end of adolescence but not throughout. References 1 : Report on varicocele and infertility. Fertil Steril2008; 90: S247. Google Scholar 2 : The frequency of mumps and of mumps orchitis and the consequences for sexuality and fertility. Acta Genet Stat Med1951; 2: 1. Google Scholar 3 : Transient asynchronous testicular growth in adolescent males with a varicocele. J Urol2008; 180: 1111. Link, Google Scholar 4 : Preoperative semen analysis as a predictor of seminal improvement following varicocelectomy. Fertil Steril2001; 75: 63. 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Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byVan Batavia J, Lawton E, Frazier J, Zderic S, Zaontz M, Shukla A, Srinivasan A, Weiss D, Long C, Canning D and Kolon T (2020) Total Motile Sperm Count in Adolescent Boys with Varicocele is Associated with Hormone Levels and Total Testicular VolumeJournal of Urology, VOL. 205, NO. 3, (888-894), Online publication date: 1-Mar-2021.Kurtz M (2017) What Can we Learn (and What Can’t we Learn) from Observational Studies of Adolescent Varicocele Treatment?Journal of Urology, VOL. 198, NO. 1, (6-8), Online publication date: 1-Jul-2017.Faasse M (2015) Re: Semen Parameters in Adolescents with Varicocele: Association with Testis Volume Differential and Total Testis VolumeJournal of Urology, VOL. 195, NO. 2, (527-528), Online publication date: 1-Feb-2016.Diamond D and Kurtz M (2016) Re: Evaluation and Management of the Adolescent VaricoceleJournal of Urology, VOL. 195, NO. 4 Part 1, (1173-1175), Online publication date: 1-Apr-2016.Faasse M (2016) Re: Evaluation and Management of the Adolescent VaricoceleJournal of Urology, VOL. 196, NO. 2, (623-625), Online publication date: 1-Aug-2016.Kurtz M, Zurakowski D, Rosoklija I, Bauer S, Borer J, Johnson K, Migliozzi M and Diamond D (2015) Semen Parameters in Adolescents with Varicocele: Association with Testis Volume Differential and Total Testis VolumeJournal of Urology, VOL. 193, NO. 5S, (1843-1847), Online publication date: 1-May-2015.Kolon T (2015) Evaluation and Management of the Adolescent VaricoceleJournal of Urology, VOL. 194, NO. 5, (1194-1201), Online publication date: 1-Nov-2015.Baskin L (2014) This Month in Pediatric UrologyJournal of Urology, VOL. 191, NO. 5, (1195-1197), Online publication date: 1-May-2014.Kolon T, Glassberg K and Van Batavia J (2014) Varicocele: Early Surgery versus ObservationJournal of Urology, VOL. 192, NO. 3, (645-647), Online publication date: 1-Sep-2014. Volume 191Issue 5May 2014Page: 1401-1406 Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.Keywordsultrasoundsemen analysisvaricocelescrotumadolescentAcknowledgmentsDr. Robert Riffenburgh contributed invaluable statistical insight.MetricsAuthor Information Matthew S. Christman More articles by this author Stephen A. Zderic More articles by this author Douglas A. Canning More articles by this author Thomas F. Kolon More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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