Varikotsele U Detey 1982 !!install!!
Asymptomatic boys with normal testicular size were often managed conservatively ("watchful waiting") to see if the varicocele would resolve or if atrophy would develop later.
While the link to infertility was suspected, the lack of routine adolescent semen analysis made decision-making difficult. The medical community in 1982 was just beginning to understand that correcting the varicocele in adolescence could prevent testicular hypotrophy, paving the way for the more aggressive, prophylactic surgical stance adopted in later decades. varikotsele u detey 1982