【摘 要】
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We read with interest the study by Cho et al.1 regarding the features of subclinical varicocele in a pediatric and young adult single-center population.Out of 98 patients identified,the majority had a right-sided subclinical varicocele(69％,n=25),usually w
【机 构】
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ASST Fatebenefratelli-Sacco,Luigi Sacco University Hospital,Department of Urology,Milan 20157,Italy
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We read with interest the study by Cho et al.1 regarding the features of subclinical varicocele in a pediatric and young adult single-center population.Out of 98 patients identified,the majority had a right-sided subclinical varicocele(69％,n=25),usually with a contralateral clinical varicocele.Testicular asymmetry(＞20％volume difference of the affected side by testicular atrophy index formula)was assessed in nine patients with unilateral subclinical varicocele without contralateral varicocele,either clinical or subclinical.Interestingly,of 17 patients with a mean follow-up of 32 months,3(17.6％)progressed to clinical varicocele without asymmetric testicular volume,as most remained subclinical or had subsequent resolution by ultrasound.The authors concluded that subclinical varicoceles appeared unlikely to progress to a clinical disease,to affect testicular volume,or to lead to surgery.
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