Abstract
Purpose : We reviewed the cases of 18 pediatric patients who underwent operative correction of varicocele. Methods : Presentation, grade of varicocele, testicular volume, results and complications of operation were analyzed. Results : The most common presentation was a scrotal mass (n=17). The remaining one patient presented with discomfort of the scrotum. Fifteen of the 18 patients were grade III of varicocele and the remaining 3 were grade II. The Palomo procedure was performed in 17 patients and the modified Palomo procedure in one. All varicoceles disappeared postoperatively. Seven patients were noted to have developed hydroceles for which two patients underwent surgical treatment. Five of 9 cases with testicular hypotrophy showed catch-up growth following surgery. Conclusions : The Palomo procedure resulted in no recurrence of varicoceles ; however in 7 patients hydroceles developed. Catch-up growth was identified in 5 of 9 patients with preoperative testicular hypotrophy.
