[Show abstract][Hide abstract] ABSTRACT: The incidence of varicocele varies from 6% to 16.2% in male children and adolescents. Various techniques were proposed to treat it. In the last years there was an increasing interest in the use of laparoscopy in pediatric urology. The authors reports their experience in the treatment of varicocele by retroperitoneoscopy with one trocar technique and the long-term follow-up in pediatric patients.
Fourty patients were treated for idiopathic Horner's degree III or less, but symptomatic, and type 1 according to Coolsaet varicocele. All patients underwent a clinical examination and echo-color Doppler before treatment and during the follow-up.
The following parameters were evaluated: duration of the operation, intra and postoperative complications, duration of hospitalization and of antalgic therapy. Follow-up was at 6, 12, 24 and 36 months (mean 23.4 months). Testicles diameters, persistence/recurrence of varicocele and hydroceles were estimated.
The retroperitoneoscopic approach in the treatment of varicocele is an effective technique because it implies a minor surgical trauma, a rapid postoperative recovery and a good cosmetic result.
No preview · Article · Apr 2006 · Minerva urologica e nefrologica = The Italian journal of urology and nephrology
[Show abstract][Hide abstract] ABSTRACT: An abscess of Bartholin's gland is extremely rare in pre-pubertal age. Literature reports only few cases of this abscess in children younger than 10 years of age. The Authors have thought it interesting to describe the two case reports of abscess of Bartholin's gland in children of 3 and 4 years of age. They were admitted to the Paediatric Surgery section of the Department of Paediatrics, Obstetrics and Reproduction Medicine because they presented a painful mass located on labia majora. These children underwent surgery to drain the abscess. On discharging they were prescribed a course of antibiotic. The function of Bartholin's glands is to lubricate the introitus and external genitals with fluid and mucosal secretion. The abscess can cause the destruction of the gland and the loss of its relative function. Although the loss of only one of the Bartholin's glands is well tolerated, it could cause disability due to the reduction of vaginal lubrication. Nevertheless, since long term studies in literature on the consequences of the loss of the gland in paediatric age do not exist, there are still doubts about the possible "gynaecological uneasiness" of adults who presented this pathology at a pre-pubertal age.