Introduction. Published global data show that the actual clinical practice in European countries differs on many issues from the recommendations approved in these countries for the management of patients with varicocele. No similar studies have been conducted in Russia.
Purpose. To evaluate the clinical practice of urologists in the Russian Federation in the treatment of patients with varicocele under 18 years of age.
Materials and methods. The survey of doctors was conducted on a specialized professional Internet resource for urologists. Uroweb.ru. The invitation to participate in the survey was posted in the form of a banner, and mailing lists were sent by e-mail and instant messengers. A total of 72 doctors from the Russian Federation participated in the study, which lasted from 06/01/25 to 10/30/25.
Results. The survey demonstrated the opinions of pediatric urologists and andrologists on the diagnosis of varicocele, determining indications for surgical treatment, choosing the method of surgery and conservative management of patients, postoperative follow-up, performing spermiological examination for varicocele and a number of less discussed issues in the literature – assessing the function of the left kidney, hemody-namics of the renal vein on the left, morphological examination of veins.
Conclusion. According to the survey results, specialists from both outpatient networks and hospitals are equally often involved in managing patients with varicocele. The data obtained fairly fully reflect the picture of the management of such patients by doctors in the regions. In general, the diagnostic and therapeutic tactics of Russian urologists are close to the accepted positions of foreign experience, a number of positions remain controversial and require further analysis and consensus.
