{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:06:06Z","timestamp":1784196366785,"version":"3.55.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"DOI":"10.1007\/s11255-026-05075-7","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T13:43:07Z","timestamp":1772631787000},"page":"3109-3118","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound maximum vein diameter contextualizes testicular asymmetry in adolescent varicocele"],"prefix":"10.1007","volume":"58","author":[{"given":"\u00d6zkan","family":"Okur","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beg\u00fcm","family":"S\u00f6nmez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Can","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin","family":"Evciler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akg\u00fcn","family":"Oral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"issue":"2","key":"5075_CR1","doi-asserted-by":"publisher","first-page":"276","DOI":"10.4103\/1008-682X.167724","volume":"18","author":"K Chiba","year":"2016","unstructured":"Chiba K, Ramasamy R, Lamb DJ, Lipshultz LI (2016) The varicocele: diagnostic dilemmas, therapeutic challenges and future perspectives. Asian J Androl 18(2):276\u2013281","journal-title":"Asian J Androl"},{"issue":"2","key":"5075_CR2","doi-asserted-by":"publisher","first-page":"317","DOI":"10.4103\/1008-682X.168789","volume":"18","author":"JK-C Shen","year":"2016","unstructured":"Shen JK-C, Huang GO, Ko EYK (2016) Controversies in varicocele repair\u2013much ado about nothing? Asian J Androl 18(2):317\u2013318","journal-title":"Asian J Androl"},{"issue":"3","key":"5075_CR3","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.1016\/j.juro.2008.05.061","volume":"180","author":"TF Kolon","year":"2008","unstructured":"Kolon TF, Clement MR, Cartwright L, Bellah R, Carr MC, Canning DA et al (2008) Transient asynchronous testicular growth in adolescent males with a varicocele. J Urol 180(3):1111\u20131115","journal-title":"J Urol"},{"issue":"2","key":"5075_CR4","doi-asserted-by":"publisher","first-page":"123","DOI":"10.5534\/wjmh.170053","volume":"36","author":"JM Chung","year":"2018","unstructured":"Chung JM, Lee SD (2018) Current issues in adolescent varicocele: pediatric urological perspectives. World J Mens Health 36(2):123","journal-title":"World J Mens Health"},{"issue":"12","key":"5075_CR5","doi-asserted-by":"publisher","first-page":"1248","DOI":"10.1016\/j.crad.2005.06.010","volume":"60","author":"P Beddy","year":"2005","unstructured":"Beddy P, Geoghegan T, Browne R, Torreggiani W (2005) Testicular varicoceles. Clin Radiol 60(12):1248\u20131255","journal-title":"Clin Radiol"},{"key":"5075_CR6","doi-asserted-by":"publisher","DOI":"10.3410\/M2-25","volume":"2","author":"KI Glassberg","year":"2010","unstructured":"Glassberg KI, Korets R (2010) Update on the management of adolescent varicocele. F1000 Med Rep 2:25","journal-title":"F1000 Med Rep"},{"issue":"4","key":"5075_CR7","first-page":"402","volume":"3","author":"KI Glassberg","year":"2014","unstructured":"Glassberg KI (2014) My indications for treatment of the adolescent varicocele (and why?). Transl Androl Urol 3(4):402","journal-title":"Transl Androl Urol"},{"issue":"5","key":"5075_CR8","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1007\/s00345-011-0701-4","volume":"29","author":"A Pilatz","year":"2011","unstructured":"Pilatz A, Altinkilic B, K\u00f6hler E, Marconi M, Weidner W (2011) Color Doppler ultrasound imaging in varicoceles: is the venous diameter sufficient for predicting clinical and subclinical varicocele? World J Urol 29(5):645\u2013650","journal-title":"World J Urol"},{"issue":"1","key":"5075_CR9","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1016\/j.fertnstert.2005.12.038","volume":"86","author":"JD Schiff","year":"2006","unstructured":"Schiff JD, Li PS, Goldstein M (2006) Correlation of ultrasound-measured venous size and reversal of flow with valsalva with improvement in semen-analysis parameters after varicocelectomy. Fertil Steril 86(1):250\u2013252","journal-title":"Fertil Steril"},{"issue":"6","key":"5075_CR10","doi-asserted-by":"publisher","first-page":"2717","DOI":"10.1016\/j.juro.2009.02.038","volume":"181","author":"KA Kozakowski","year":"2009","unstructured":"Kozakowski KA, Gjertson CK, Decastro GJ, Poon S, Gasalberti A, Glassberg KI (2009) Peak retrograde flow: a novel predictor of persistent, progressive and new onset asymmetry in adolescent varicocele. J Urol 181(6):2717\u20132723","journal-title":"J Urol"},{"issue":"2","key":"5075_CR11","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1016\/j.juro.2009.10.028","volume":"183","author":"SA Poon","year":"2010","unstructured":"Poon SA, Gjertson CK, Mercado MA, Raimondi PM, Kozakowski KA, Glassberg KI (2010) Testicular asymmetry and adolescent varicoceles managed expectantly. J Urol 183(2):731\u2013734","journal-title":"J Urol"},{"issue":"1","key":"5075_CR12","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.eururo.2025.04.010","volume":"88","author":"A Salonia","year":"2025","unstructured":"Salonia A, Capogrosso P, Boeri L, Cocci A, Corona G, Dinkelman-Smit M et al (2025) European association of urology guidelines on male sexual and reproductive health: 2025 update on male hypogonadism, erectile dysfunction, premature ejaculation, and Peyronie\u2019s disease. Eur Urol 88(1):76\u2013102","journal-title":"Eur Urol"},{"issue":"6","key":"5075_CR13","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1097\/JU.0000000000004180","volume":"212","author":"RE Brannigan","year":"2024","unstructured":"Brannigan RE, Hermanson L, Kaczmarek J, Kim SK, Kirkby E, Tanrikut C (2024) Updates to male infertility: AUA\/ASRM guideline (2024). J Urol 212(6):789\u2013799","journal-title":"J Urol"},{"issue":"5","key":"5075_CR14","doi-asserted-by":"publisher","first-page":"872","DOI":"10.2164\/jandrol.111.014993","volume":"33","author":"SO Kim","year":"2012","unstructured":"Kim SO, Jung H, Park K (2012) Outcomes of microsurgical subinguinal varicocelectomy for painful varicoceles. J Androl 33(5):872\u2013875","journal-title":"J Androl"},{"issue":"6","key":"5075_CR15","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1097\/MOU.0b013e328358e1a4","volume":"22","author":"RG Fine","year":"2012","unstructured":"Fine RG, Poppas DP (2012) Varicocele: standard and alternative indications for repair. Curr Opin Urol 22(6):513\u2013516","journal-title":"Curr Opin Urol"},{"issue":"1","key":"5075_CR16","doi-asserted-by":"publisher","DOI":"10.5534\/wjmh.170010","volume":"37","author":"S Paick","year":"2019","unstructured":"Paick S, Choi WS (2019) Varicocele and testicular pain: a review. World J Mens Health 37(1):4","journal-title":"World J Mens Health"},{"issue":"1","key":"5075_CR17","doi-asserted-by":"publisher","first-page":"10.e1","DOI":"10.1016\/j.jpurol.2017.06.017","volume":"14","author":"C Esposito","year":"2018","unstructured":"Esposito C, Escolino M, Castagnetti M, Cerulo M, Settimi A, Cortese G et al (2018) Two decades of experience with laparoscopic varicocele repair in children: standardizing the technique. J Pediatr Urol 14(1):10.e1-10.e7","journal-title":"J Pediatr Urol"},{"issue":"5","key":"5075_CR18","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1038\/aja.2010.87","volume":"13","author":"HJ Park","year":"2011","unstructured":"Park HJ, Lee SS, Park NC (2011) Predictors of pain resolution after varicocelectomy for painful varicocele. Asian J Androl 13(5):754\u2013758","journal-title":"Asian J Androl"},{"issue":"5","key":"5075_CR19","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1111\/j.1365-2605.2012.01283.x","volume":"35","author":"M Cimador","year":"2012","unstructured":"Cimador M, Pensabene M, Sergio M, Caruso A, De Grazia E (2012) Focus on paediatric and adolescent varicocoele: a single institution experience. Int J Androl 35(5):700\u2013705","journal-title":"Int J Androl"},{"key":"5075_CR20","doi-asserted-by":"publisher","DOI":"10.1177\/17562872231206239","volume":"15","author":"S Tandon","year":"2023","unstructured":"Tandon S, Bennett D, Nataraja RM, Pacilli M (2023) Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis. Ther Adv Urol 15:17562872231206239","journal-title":"Ther Adv Urol"},{"issue":"4","key":"5075_CR21","doi-asserted-by":"publisher","first-page":"1456","DOI":"10.1016\/S0022-5347(01)65021-3","volume":"157","author":"J Sayfan","year":"1997","unstructured":"Sayfan J, Siplovich L, Koltun L, Benyamin N (1997) Varicocele treatment in pubertal boys prevents testicular growth arrest. J Urol 157(4):1456\u20131457","journal-title":"J Urol"},{"issue":"4","key":"5075_CR22","doi-asserted-by":"publisher","first-page":"1657","DOI":"10.1016\/j.juro.2008.03.099","volume":"180","author":"KM Feber","year":"2008","unstructured":"Feber KM, Kass EJ (2008) Varicocelectomy in adolescent boys: long-term experience with the Palomo procedure. J Urol 180(4):1657\u20131660","journal-title":"J Urol"},{"issue":"4","key":"5075_CR23","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1016\/j.juro.2010.06.057","volume":"184","author":"C Spinelli","year":"2010","unstructured":"Spinelli C, Di Giacomo M, Piccolo RL, Martin A, Messineo A (2010) The role of testicular volume in adolescents with varicocele: the better way and time of surgical treatment. J Urol 184(4):1722\u20131726","journal-title":"J Urol"},{"issue":"2","key":"5075_CR24","doi-asserted-by":"publisher","first-page":"152.e1","DOI":"10.1016\/j.jpurol.2017.12.008","volume":"14","author":"S Zundel","year":"2018","unstructured":"Zundel S, Szavay P, Hacker H-W, Shavit S (2018) Adolescent varicocele: efficacy of indication-to-treat protocol and proposal of a grading system for postoperative hydroceles. J Pediatr Urol 14(2):152.e1-152.e6","journal-title":"J Pediatr Urol"},{"issue":"6","key":"5075_CR25","doi-asserted-by":"publisher","first-page":"2402","DOI":"10.1016\/j.juro.2011.07.116","volume":"186","author":"SN Nees","year":"2011","unstructured":"Nees SN, Glassberg KI (2011) Observations on hydroceles following adolescent varicocelectomy. J Urol 186(6):2402\u20132407","journal-title":"J Urol"},{"issue":"3","key":"5075_CR26","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1097\/01.ju.0000112928.91319.fe","volume":"171","author":"C Esposito","year":"2004","unstructured":"Esposito C, Valla JS, Najmaldin A, Shier F, Mattioli G, Savanelli A et al (2004) Incidence and management of hydrocele following varicocele surgery in children. J Urol 171(3):1271\u20131273","journal-title":"J Urol"},{"issue":"4","key":"5075_CR27","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1016\/S0022-5347(17)36857-X","volume":"148","author":"EM Beck","year":"1992","unstructured":"Beck EM, Schlegel PN, Goldstein M (1992) Intraoperative varicocele anatomy: a macroscopic and microscopic study. J Urol 148(4):1190\u20131194","journal-title":"J Urol"},{"issue":"6","key":"5075_CR28","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1002\/jcu.23694","volume":"52","author":"M Atay","year":"2024","unstructured":"Atay M, Toprak H, Akcay A, Mehdi E, Yilmaz M (2024) Association between left-sided varicocele and epididymo-orchitis with sonographic findings. J Clin Ultrasound 52(6):700\u2013704","journal-title":"J Clin Ultrasound"},{"issue":"2","key":"5075_CR29","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1046\/j.1445-5781.2002.00013.x","volume":"1","author":"H Kobayashi","year":"2002","unstructured":"Kobayashi H, Nagao K, Nakai T, Kudo T, Yoshida A, Hara H et al (2002) Evaluation of testicular microlithiasis in varicoceles. Reprod Med Biol 1(2):75\u201379","journal-title":"Reprod Med Biol"},{"issue":"6","key":"5075_CR30","doi-asserted-by":"publisher","first-page":"1736","DOI":"10.1111\/andr.12854","volume":"8","author":"S Anvari Aria","year":"2020","unstructured":"Anvari Aria S, Nordstr\u00f6m Joensen U, Bang AK, Priskorn L, Nordkap L, Andersson AM et al (2020) Testicular microlithiasis on scrotal ultrasound in 4850 young men from the general population: associations with semen quality. Andrology 8(6):1736\u20131743","journal-title":"Andrology"}],"container-title":["International Urology and Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-026-05075-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11255-026-05075-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-026-05075-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:18:57Z","timestamp":1784193537000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11255-026-05075-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,4]]},"references-count":30,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["5075"],"URL":"https:\/\/doi.org\/10.1007\/s11255-026-05075-7","relation":{},"ISSN":["1573-2584"],"issn-type":[{"value":"1573-2584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,4]]},"assertion":[{"value":"12 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that there are no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Clinical Research Ethics Committee, University of Health Sciences \u0130zmir Dr. Beh\u00e7et Uz Children\u2019s Diseases and Surgery Training and Research Hospital (Ethics Committee Protocol No. 899, Decision No. 2023\/15\u201303, Date: 26 October 2023). Due to the retrospective nature of the study and the use of anonymized clinical data, the requirement for written informed consent was waived by the Ethics Committee. For participants contacted by telephone for postoperative pain assessment, verbal informed consent was obtained.","order":2,"name":"Ethics","label":"Human ethics and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}}]}}