"The main indications for surgical treatment in the pediatric population are: (1) testicular asymmetry (involved testicle with a lower volume difference of more than 20% in comparison with the contralateral testicle), (2) grade III according to Dubin and Amelar classification, (3) bilateral varicocele in end-stage testicular development, (4) psychological or physical discomfort, and (5) pain [7]."