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All Journal Indonesian Journal of Urology
Rahmat A., Saidah
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Health Professions Medicine & Pharmacology Public Health

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MICROSURGICAL VARICOCELECTOMY IN PRE-PUBERTAL CHILDREN: SAFETY, EFFICACY, AND REPRODUCTIVE IMPLICATIONS - A CASE REPORT AND LITERATURE REVIEW Bakri, Syarif; Azis, Abdul; Zainal, Ahmad Taufik Fadillah; Rahmat A., Saidah; Makkaraka, Moh Anfasa Giffari
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.1038

Abstract

Objective: In this report, we aim to present a case of a prepubertal child with left varicocele who underwent successful microsurgical ligation. Case(s) Presentation: A 9-year-old boy was admitted to urology clinic due to his parents complaint about a mass in his left scrotum. We diagnosed this patient with grade III varicocele (Dubin-Amelar classification). The patient underwent microsurgical ligation surgery. After surgery, the mass such as "bag of worms" disappeared and the testicular volume increased by 53% from preoperative volume (1.8 to 2.3 cc). Discussion: The results of this case report indicate that microsurgical ligation of varicocele in children is a safe and effective therapeutic option. Conclusion: Microsurgical ligation of varicocele in pre-pubertal children represents a safe and effective therapeutic option, offering symptom relief and potential preservation of future fertility. Further studies are warranted to elucidate the long-term outcomes and reproductive implications of microsurgical varicocelectomy in this population. Keywords: Microsurgical ligation, varicocele, children.
Co-Authors Abdul Azis Makkaraka, Moh Anfasa Giffari Syarif Bakri, Syarif Zainal, Ahmad Taufik Fadillah