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    The exact pathophysiology of varicocele and the subsequent alteration of spermatogenesis has been the subject of much debate. Despite an enormous amount of literature on the subject, the appropriate management of varicocele in the adolescent patient population has not yet been clearly elucidated. While not every male with varicocele will be subfertile, the possibility potentially lends credence to early diagnosis for those in whom treatment will have an impact.

    Citation

    Laura S Merriman, Andrew J Kirsch. Varicocele in adolescence: where are we now? Current urology reports. 2012 Aug;13(4):311-7

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    PMID: 22639283

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