Not every varicocele needs treatment. Surgery is generally considered if:
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Diagnosis is made by physical examination (standing, after Valsalva maneuver) and confirmed with Doppler ultrasound, which measures testicular volume and blood flow. Not every varicocele needs treatment
The exact cause of varicocele in children and adolescents isn't always clear, but it's believed to be related to a combination of anatomical and physiological factors. One theory is that it results from a faulty valve in the veins that causes blood to flow backward (reflux), leading to the pooling of blood and subsequent enlargement of the veins. varikotsele u detey 1982 okru