ArticleTherapeutic advances in urology
Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis.
Article in Therapeutic advances in urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Comparison of sclero-embolization and surgical ligation for varicocele treatment: a systematic review and meta-analysis.World journal of urology · 2025Pooled it
- Indocyanine green fluorescence-guided transumbilical three-port laparoscopic suprainguinal varicocelectomy with testicular artery and lymphatic preservation for pediatric varicocele: a retrospective cohort study.Pediatric surgery international · 2026Article
- Ultrasound maximum vein diameter contextualizes testicular asymmetry in adolescent varicocele.International urology and nephrology · 2026Article
- Adolescent varicocele, a Gordian knot: A comprehensive review of clinical perspectives and future directions.World journal of methodology · 2026Review
- Why Varicoceles Recur: Missed Venous Anatomy and Contemporary Strategies for Salvage.Journal of clinical medicine · 2026Review
- Article
- Retrospective Analysis of Laparoscopic Varicocelectomy in Pediatric Patients: Impact of Lymphatic-Sparing Techniques and Methylene Blue on Outcomes-A Series of Cases.Journal of clinical medicine · 2025Article
- Tauber's antegrade sclerotherapy for the treatment of varicocele in children and adolescents. Does the pubertal stage matter?World journal of urology · 2025Article
- Beyond Tying Knots: Can Venous Bypass Shape the Future of Testicular Hemodynamics in Varicocele Treatment? - A Systematic Review.Research and reports in urology · 2025Review
- Ultrasonic Scalpel vs. Polymeric Clip Laparoscopic Varicocelectomy in Adolescents with Symptomatic Varicocele.Journal of clinical medicine · 2024Article
- Robotic-assisted versus conventional laparoscopic ICG-fluorescence lymphatic-sparing palomo varicocelectomy: a comparative retrospective study of techniques and outcomes.World journal of urology · 2024Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The ideal surgical approach for the management of varicocele in children and adolescents remains controversial. Several techniques are available including artery- or lymphatic-sparing with optical magnification ( Objectives: We aimed to appraise the clinical outcomes of these techniques in children and adolescents. Data Sources and Methods: A systematic review was conducted (1997-2023). Meta-analysis or proportional meta-analysis for non-comparative studies (Freeman-Tukey transformation) using the random effects model was conducted. Results are expressed as overall proportion % and 95% confidence interval (CI). Results: We identified 1910 studies; 632 duplicates were removed, 1278 were screened, 203 were reviewed and 56 were included, with 12 reporting on 2 different techniques (total of 68 data sets). Optical magnification Conclusion: The recurrence rate varies between 2.1% and 7.6% and is higher with the embolization/sclerotherapy techniques. Post-operative hydrocele rate varies between 0.8% and 11.4% and is higher with the laparoscopic mass-ligation/division technique. Testicular atrophy has not been reported with the laparoscopic and embolization/sclerotherapy techniques. The retrograde embolization technique is associated with 10% technical failure (inability to complete the procedure). The laparoscopic lymphatic-sparing technique is characterized by the lowest recurrence rate, incidence of hydrocele and other complications, and no reports of testicular atrophy.
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