BACKGROUND/PURPOSE: The purpose of the study was to determine if testicular delivery during microsurgical subinguinal varicocelectomy ( @entity2073 ) reduces varicocele recurrence rates in pediatric @entity1 . Testicular delivery during @entity2073 enables ligation of the gubernacular veins, which is thought to reduce the likelihood of varicocele recurrence. However, recent studies have suggested that testicular delivery during @entity2073 does not offer any beneficial effect and, therefore, may be optional or unnecessary. METHODS: A total of 58 pediatric @entity1 with grade II (nine, 15.5%) or III (49, 84.5%) varicocele met inclusion criteria. Of these 58 @entity1 , 25 (43%) underwent @entity2073 with testicular delivery and 33 (57%) underwent @entity2073 without testicular delivery. Varicocele recurrence, testicular size change, and complications including @entity4 , @entity158 , @entity809 , hydrocele, and testicular @entity194 were assessed to evaluate the effects of testicular delivery during @entity2073 . RESULTS: Recurrence rates were 20% and 6.1% in @entity1 who underwent @entity2073 with and without testicular delivery, respectively. Univariate analysis of primary endpoints demonstrated significantly decreased recurrence, @entity158 , and temporary @entity809 in @entity1 who underwent @entity2073 without testicular delivery compared to those with testicular delivery. Multivariate analysis also demonstrated that recurrence was significantly associated with testicular delivery. CONCLUSIONS: Testicular delivery to enable ligation of the gubernacular veins during @entity2073 resulted in a higher recurrence rate in pediatric @entity1 . Further investigation including prospective studies with long-term follow-up is needed to determine if testicular delivery during @entity2073 is an unnecessary procedure in pediatric @entity1 . LEVEL OF EVIDENCE: 2.

Recurrence rates in pediatric XXXX undergoing microsurgical subinguinal varicocelectomy with and without testicular delivery.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity809 :: ('MESH:D010292', 'Disease') :: ['paresthesia'] @entity2073 :: ('10821', 'Species') :: ['MSV'] @entity194 :: ('MESH:D001284', 'Disease') :: ['atrophy'] @entity158 :: ('MESH:D010146', 'Disease') :: ['scrotal pain', 'pain']
@entity1 :: (9606,Species) :: ['patients']
