ESPU Congress 2018 - Abstract Book

91 11–14 APRIL, 2018, HELSINKI, FINLAND 15:01–15:04 S10-5 (PP) SEMEN ANALYSIS OF ADOLESCENTS WITH VARICOCELE: WHAT IS IT TELLING US? Marianna MASPERO  1 , Arianna LESMA  1 and Francesco MONTORSI  2 1) Ospedale San Raffaele, Pediatric Urology, Milano, ITALY - 2) Ospedale San Raffaele, Urology, Milano, ITALY PURPOSE In absence of semen analysis (SA), current recommendations for adolescent varicocele repair are limited to presence of testicular hypotrophy or symptomatic varicocele. Is there a risk of under-treatment? PATIENTS AND METHODS We retrospectively reviewed the SA of adolescents and young adults affected by grade III asymp- tomatic varicocele without testicular hypotrophy, not submitted to treatment. Exclusion criteria were other causes of male infertility, such as: history of cryptorchidism, testicular torsion, disorders of sexual differentiation, hormonal disturbances, etc. We analyzed the entire cohort, then divided it into patients younger than 18 years at SA and patients 18 and older, and compared the two groups using Chi-square test. RESULTS Between 2007 and 2017, 75 patients performed SA at our Institute. Mean age at diagnosis was 14,8 years (9–17 years). 61 (81 %) had left-sided varicocele, while 14 (19 %) had bilateral. Mean age at SA was 17,5 (15 – 23 years). 21 (28 %) had normozoospermia; 22 patients (30 %) had one altered value (14 teratozoospermia, 8 asthenozoospermia); 24 (32 %) had two altered values (1 oli- goteratozoospermia, 23 asthenoteratozoospermia); 6 (8 %) had oligoasthenoteratozoospermia; and 2 (2 %) had azoospermia. No significant differences in SA results were found between patients younger than 18 years and patients 18 and older (p > 0.05). CONCLUSIONS Early alteration of semen analysis is possible even in absence of symptomatic varicocele or tes- ticular hypotrophy. 15:04–15:07 S10-6 (PP) VARICOCELE SURGERY CAN RESTORE NORMAL SPERM PARAMETERS IN ADOLESCENT PATIENTS WITH TESTICULAR ASYMMETRY David KEENE and Raimondo CERVELLIONE Royal Manchester Children's Hospital, Department of Paediatric Urology, Manchester, UNITED KINGDOM PURPOSE Adolescent patients with varicocele and testicular asymmetry (>20 %) have significantly impaired sperm concentration and forward motility (Keene 2012). Varicocele surgery can result in catch-up growth of the affected testis. The authors aimed to determine if varicocele surgery also results in improved sperm parameters in this group of adolescent patients.