Literature Reviews
doi: 10.25005/2074-0581-2020-22-2-286-295
ACTUAL PROBLEMS OF VARICOCELE IN ADOLESCENTS

K.P. Artykov1,2, D. Khuseynzoda1,2, M. A. Yuldoshov3, I.N. Khvan1

1Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
3Department of Surgery, Tajik National University, Dushanbe, Republic of Tajikistan

In recent years, cases of detection of varicocele in adolescent age have increased and the using methods of treatment for this population remain controversial. The literature analysis revealed a variety of approaches to the therapy of the pathology: there are supporters of both surgical treatment and conservative therapy and dynamic surveillance. It is known that about 20-40% of adolescents with varicocele are potentially infertile, and they need early surgery for indications such as testicle hypotrophy, pathospermia. However, the existing methods of treatment of varicocele are accompanied by the recurrence, with hydrocele development, and progressive testicle injuries. Furthermore, the results of applicable methods of treatment are limited, characterized by low evidence, lack of randomized controlled researches.

Keywords: Varicocele, spermatic cord, fertility, adolescents, treatment.

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References
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Authors' information:

Аrtykov Karimdzhon Pulatovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University; Leading Specialist in the Training of Scientific Personnel, Republican Scientific Center for Cardiovascular Surgery
Scopus ID: 6506551678
ORCID ID: 0000-0002-6346-0851
SPIN: 2480-6526
Author ID: 909829
E-mail: artikov53@mail.ru

Khuseynzoda Dzhamshed
Applicant, Republican Scientific Center for Cardiovascular Surgery; Senior Laboratory Assistant, Department of Surgical Diseases № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0003-0537-4426
SPIN: 1738-7633
Author ID: 1066802
E-mail: dkhuseynzoda@bk.ru

Yuldoshov Murodali Arabovich
Candidate of Medical Sciences, Assistant of the Department of Surgery, Tajik National University
ORCID ID: 0000-0003-1208-9519
SPIN: 1049-0339
Author ID: 1066751
E-mail: dr.murodali@gmail.com

Khvan Igor Nikolaevich
Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University
Researcher ID: AAJ-7209-2020
ORCID ID: 0000-0002-8108-4087
SPIN: 1342-3314
Author ID: 466108
E-mail: igor_khvan@bk.ru

Information about support in the form of grants, equipment, medications

The work was carried our according to the plan of scientific research works of Avicenna Tajik State Medical University (state registration number – 0116TJ00602). The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Аrtykov Karimdzhon Pulatovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University; Leading Specialist in the Training of Scientific Personnel, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (919) 401616

E-mail: artikov53@mail.ru

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