Barriers to use of semen analysis in the adolescent with a varicocele: Survey of patient, parental, and practitioner attitudes

Journal of Pediatric Urology
Ronnie G FineLane S Palmer

Abstract

The American Society for Reproductive Medicine Practice Committee recommends obtaining a semen analysis (SA) in pediatric patients presenting with a varicocele in the absence of significant testicular atrophy. Among infertile adults with a varicocele, surgery is indicated in the presence of abnormal semen analysis regardless of testicular atrophy. Despite these two statements, semen analysis is not widely utilized by pediatric urologists in the USA managing a patient with a varicocele. We explored the attitudes of patients, parents, and practitioners toward SA to identify potential barriers to the use of SA in the evaluation of the adolescent varicocele. We conducted a survey of Society for Pediatric Urology members regarding their management of adolescent varicoceles, with focus on the utilization of SA. The survey consisted of 14 multiple choice questions and two open-ended questions regarding use of SA in practice, barriers to its use, indications for varicocelectomy, and demographics. We also surveyed patients presenting for initial evaluation of a varicocele, as well as their parents, regarding their knowledge about SA and their attitude towards obtaining it. Statistical analysis was performed (p < 0.05 significant). The p...Continue Reading

References

Dec 3, 2004·Pediatrics·Elan W SalzhauerKenneth I Glassberg
Aug 21, 2007·The Journal of Urology·David A DiamondAlan B Retik
Jan 2, 2008·Fertility and Sterility·Marcos Mitsuyoshi MoriAgnaldo Pereira Cedenho
Mar 29, 2008·Urology·Mark A PrestonMichael P Leonard
Apr 19, 2008·Pediatric Surgery International·Nicola ZampieriFrancesco Saverio Camoglio
Nov 26, 2009·Human Reproduction Update·Trevor G CooperKirsten M Vogelsong
Feb 14, 2012·Journal of Pediatric Surgery·David J B KeeneRaimondo M Cervellione
Mar 20, 2012·The Journal of Urology·Ingrid SchauerMartin Imhof
Dec 25, 2012·The Journal of Urology·Guy BogaertGunter De Win
Nov 12, 2013·The Journal of Urology·Craig Niederberger

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Citations

Jan 20, 2016·The Journal of Urology·David A Diamond, Michael P Kurtz
Aug 16, 2016·Current Urology Reports·Kristina D Suson
Nov 8, 2016·Journal of Pediatric Urology·David I ChuThomas F Kolon
Jul 26, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ari P BernsteinBeth A Drzewiecki
Sep 11, 2019·Journal of Clinical Medicine·Rossella CannarellaSandro La Vignera
Aug 18, 2018·Therapeutic Advances in Urology·Matthew R MaceyR Matthew Coward

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