Introduction Serum B12 deficiency is a known sequlae of enterocystoplasty. The
complications of B12 deficiency include megaloblastic anemia, neuropsychiatric disease,
and demyelinating diseases such as peripheral neuropathy. Some studies have suggested
that underlying disease states may be more important than enteric absorptive capacity in
predicting acquired B12 deficiency. A 38% incidence of low or low-normal serum B12 in
patients who have undergone enterocystoplasty has previously been reported, and oral B12 …

Editorial Comment: The authors surveyed patients and parents as well as pediatric
urologists on the use of the semen analysis (SA) to help direct treatment of varicocele. Of
pediatric urologists 48% expressed discomfort in recommending SA to an adolescent or
young adult. Only 13% routinely used SA when managing cases of varicocele. Of the
parents 38% were uncomfortable with the idea of obtaining a semen analysis, as were 16%
of patients, largely due to lack of knowledge about the semen analysis.