The Palomo procedure in the treatment of boys with varicocele : a retrospective study of testicular growth and fertility
The Palomo procedure has often been criticized with regard to possible atrophy of the testis. Measuring the testicular volume is mainly used in pre- and postoperative assessment. Evidence concerning fertility remains unclear. The aim of this study was to learn whether now-adult former patients had a...
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| Veröffentlicht in: | Pediatric surgery international 1998-11, Vol.14 (1-2), p.74-78 |
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| description | The Palomo procedure has often been criticized with regard to possible atrophy of the testis. Measuring the testicular volume is mainly used in pre- and postoperative assessment. Evidence concerning fertility remains unclear. The aim of this study was to learn whether now-adult former patients had any disturbance of their testicular growth and/or fertility. Out of 79 patients operated upon with Palomo's procedure between 1979 and 1990, 33 could be evaluated. They all had grade II or III left-sided varicoceles. Investigations consisted of: the patient's history, testicular-volume measurement by means of an orchidometer (OM) (Prader) and ultrasonography (US), and semen analysis (27/33) 6-17 years after surgery. No recurrence of grade II varicoceles was observed. Only 1 of the 33 patients might have had testicular atrophy, yet he had already fathered 3 children! Twenty-three had a normal sperm count and 24/27 showed normal sperm motility. Eight hydroceles were either present at the time of investigation or had been operated upon in the past. Estimations of testicular volume by OM and US showed significant differences between the two methods concerning volume and relation of right to left side. In general, the volume was overestimated by the OM. The study shows that in boys the simple surgical technique proposed by Palomo has - in the long run - no disadvantages for testicular development and sperm production. Fertility should therefore not be compromised. |
| doi_str_mv | 10.1007/s003830050440 |
| format | Article |
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F</creator><creatorcontrib>STERN, R ; KISTLER, W ; SCHÄRLI, A. F</creatorcontrib><description>The Palomo procedure has often been criticized with regard to possible atrophy of the testis. Measuring the testicular volume is mainly used in pre- and postoperative assessment. Evidence concerning fertility remains unclear. The aim of this study was to learn whether now-adult former patients had any disturbance of their testicular growth and/or fertility. Out of 79 patients operated upon with Palomo's procedure between 1979 and 1990, 33 could be evaluated. They all had grade II or III left-sided varicoceles. Investigations consisted of: the patient's history, testicular-volume measurement by means of an orchidometer (OM) (Prader) and ultrasonography (US), and semen analysis (27/33) 6-17 years after surgery. No recurrence of grade II varicoceles was observed. Only 1 of the 33 patients might have had testicular atrophy, yet he had already fathered 3 children! Twenty-three had a normal sperm count and 24/27 showed normal sperm motility. Eight hydroceles were either present at the time of investigation or had been operated upon in the past. Estimations of testicular volume by OM and US showed significant differences between the two methods concerning volume and relation of right to left side. In general, the volume was overestimated by the OM. The study shows that in boys the simple surgical technique proposed by Palomo has - in the long run - no disadvantages for testicular development and sperm production. Fertility should therefore not be compromised.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s003830050440</identifier><identifier>PMID: 9880702</identifier><identifier>CODEN: PSUIED</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Atrophy ; Biological and medical sciences ; Child ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Postoperative Complications - epidemiology ; Retrospective Studies ; Risk Factors ; Spermatogenesis ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Testis - growth & development ; Testis - pathology ; Testis - surgery ; Time Factors ; Varicocele - physiopathology ; Varicocele - surgery</subject><ispartof>Pediatric surgery international, 1998-11, Vol.14 (1-2), p.74-78</ispartof><rights>1999 INIST-CNRS</rights><rights>Springer-Verlag Berlin Heidelberg 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-e8d16ba04277b4e78c7a162259efb5b0e62ed6e72e63a6ca4d6b2de8112359c13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1689027$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9880702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STERN, R</creatorcontrib><creatorcontrib>KISTLER, W</creatorcontrib><creatorcontrib>SCHÄRLI, A. F</creatorcontrib><title>The Palomo procedure in the treatment of boys with varicocele : a retrospective study of testicular growth and fertility</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><description>The Palomo procedure has often been criticized with regard to possible atrophy of the testis. Measuring the testicular volume is mainly used in pre- and postoperative assessment. Evidence concerning fertility remains unclear. The aim of this study was to learn whether now-adult former patients had any disturbance of their testicular growth and/or fertility. Out of 79 patients operated upon with Palomo's procedure between 1979 and 1990, 33 could be evaluated. They all had grade II or III left-sided varicoceles. Investigations consisted of: the patient's history, testicular-volume measurement by means of an orchidometer (OM) (Prader) and ultrasonography (US), and semen analysis (27/33) 6-17 years after surgery. No recurrence of grade II varicoceles was observed. Only 1 of the 33 patients might have had testicular atrophy, yet he had already fathered 3 children! Twenty-three had a normal sperm count and 24/27 showed normal sperm motility. Eight hydroceles were either present at the time of investigation or had been operated upon in the past. Estimations of testicular volume by OM and US showed significant differences between the two methods concerning volume and relation of right to left side. In general, the volume was overestimated by the OM. The study shows that in boys the simple surgical technique proposed by Palomo has - in the long run - no disadvantages for testicular development and sperm production. Fertility should therefore not be compromised.</description><subject>Adult</subject><subject>Atrophy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Spermatogenesis</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Testis - growth & development</subject><subject>Testis - pathology</subject><subject>Testis - surgery</subject><subject>Time Factors</subject><subject>Varicocele - physiopathology</subject><subject>Varicocele - surgery</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkc1P3DAQxa0KRBfaY4-VLIR6C4ztxB_cEKK0EhIc6DlynEkxSuKt7bDsf48Rq1b0YFny-_nNmxlCvjA4ZQDqLAEILQAaqGv4QFasFqoymok9sgKmTAWi0R_JYUqPAKCFNAfkwGgNCviKPN8_IL2zY5gCXcfgsF8iUj_TXN5zRJsnnDMNA-3CNtGNzw_0yUbvCjoiPaeWRswxpDW67J-Qprz021c-Y8reLaON9HcMm_LPzj0dMGY_-rz9RPYHOyb8vLuPyK_vV_eXP6qb2-uflxc3lRN1nSvUPZOdhZor1dWotFOWSc4bg0PXdICSYy9RcZTCSmfrXna8R80YF41xTByRb2--pbs_S8nUTj6V7KOdMSyplYZxI5umgMf_gY9hiXPJ1nLOlShHF6h6g1xpOUUc2nX0k43blkH7uo723ToK_3VnunQT9n_p3fyLfrLTbXJ2HKKdnU__TKU2UGq_AFXGkrA</recordid><startdate>19981101</startdate><enddate>19981101</enddate><creator>STERN, R</creator><creator>KISTLER, W</creator><creator>SCHÄRLI, A. 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F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-e8d16ba04277b4e78c7a162259efb5b0e62ed6e72e63a6ca4d6b2de8112359c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Atrophy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Spermatogenesis</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Testis - growth & development</topic><topic>Testis - pathology</topic><topic>Testis - surgery</topic><topic>Time Factors</topic><topic>Varicocele - physiopathology</topic><topic>Varicocele - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STERN, R</creatorcontrib><creatorcontrib>KISTLER, W</creatorcontrib><creatorcontrib>SCHÄRLI, A. F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STERN, R</au><au>KISTLER, W</au><au>SCHÄRLI, A. F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Palomo procedure in the treatment of boys with varicocele : a retrospective study of testicular growth and fertility</atitle><jtitle>Pediatric surgery international</jtitle><addtitle>Pediatr Surg Int</addtitle><date>1998-11-01</date><risdate>1998</risdate><volume>14</volume><issue>1-2</issue><spage>74</spage><epage>78</epage><pages>74-78</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><coden>PSUIED</coden><abstract>The Palomo procedure has often been criticized with regard to possible atrophy of the testis. Measuring the testicular volume is mainly used in pre- and postoperative assessment. Evidence concerning fertility remains unclear. The aim of this study was to learn whether now-adult former patients had any disturbance of their testicular growth and/or fertility. Out of 79 patients operated upon with Palomo's procedure between 1979 and 1990, 33 could be evaluated. They all had grade II or III left-sided varicoceles. Investigations consisted of: the patient's history, testicular-volume measurement by means of an orchidometer (OM) (Prader) and ultrasonography (US), and semen analysis (27/33) 6-17 years after surgery. No recurrence of grade II varicoceles was observed. Only 1 of the 33 patients might have had testicular atrophy, yet he had already fathered 3 children! Twenty-three had a normal sperm count and 24/27 showed normal sperm motility. Eight hydroceles were either present at the time of investigation or had been operated upon in the past. Estimations of testicular volume by OM and US showed significant differences between the two methods concerning volume and relation of right to left side. In general, the volume was overestimated by the OM. The study shows that in boys the simple surgical technique proposed by Palomo has - in the long run - no disadvantages for testicular development and sperm production. Fertility should therefore not be compromised.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>9880702</pmid><doi>10.1007/s003830050440</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Atrophy Biological and medical sciences Child Follow-Up Studies Humans Male Medical sciences Postoperative Complications - epidemiology Retrospective Studies Risk Factors Spermatogenesis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Testis - growth & development Testis - pathology Testis - surgery Time Factors Varicocele - physiopathology Varicocele - surgery |
| title | The Palomo procedure in the treatment of boys with varicocele : a retrospective study of testicular growth and fertility |
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