Varikotsele U Detey 1982 Okru Updated

| Symptom/Sign | Frequency in children | Typical age of detection | |--------------|----------------------|--------------------------| | Asymptomatic scrotal swelling (often incidental) | 70 % | 7–12 yr (school health exams) | | Visible/ palpable “bag of worms” on Valsalva | 60 % | 9–14 yr | | Testicular asymmetry (> 2 mm) | 20 % | 11–16 yr | | Pain (dull, intermittent) | 10 % | 13–18 yr (often after sport) | | Decreased testicular volume on US | 15 % | 12–16 yr |

1. Historical Context: The 1982 Standard

Given the phrasing, this appears to reference a seminal 1982 Russian-language source (likely from the OKRU – Omsk Regional Clinical Hospital or similar regional urology center) and seeks an update on the management of pediatric varicocele.