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Varicocele as a source of male infertility - current treatment techniques.

Kupis Ł, Dobroński PA, Radziszewski P - Cent European J Urol (2015)

Bottom Line: Nevertheless, its role remains unclear.The best treatment option seems to be microscopic surgery - the most effective and linked to rare surgical complications.But the greatest clinical problem remains the selection of patients to treat - recently it is believed that varicocelectomy is a possibly advisable option in patients with clinical varicocele and seminal parameter impairment [1].

View Article: PubMed Central - PubMed

Affiliation: Warsaw Medical University, Department of Urology, Poland.

ABSTRACT
To establish the extent of varicocele as the cause of infertility in men and compare the various techniques of treatment. We searched PubMed and the Cochrane Library database using varicocele, male infertility, varicocelectomy as keywords. Varicocele seems to be a growing problem considered to be one of the most common causes of male infertility in recent times. Nevertheless, its role remains unclear. The best treatment option seems to be microscopic surgery - the most effective and linked to rare surgical complications. But the greatest clinical problem remains the selection of patients to treat - recently it is believed that varicocelectomy is a possibly advisable option in patients with clinical varicocele and seminal parameter impairment [1]. More high-quality, multicenter, long-term randomized controlled trials (RCT's) are required to verify the findings.

No MeSH data available.


Related in: MedlinePlus

Microsurgical varicocelectomy. Veins after isolation and suture ligation. Identified spermatic artery – marked with a different colour suture (own material).
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Figure 0002: Microsurgical varicocelectomy. Veins after isolation and suture ligation. Identified spermatic artery – marked with a different colour suture (own material).

Mentions: Microsurgical varicocelectomy seems to have only one disadvantage – operation duration which is significantly longer than other surgical techniques that require training. What is more is that the microscope is now brought into the operating field in order to improve the ability in differing arteries, veins and lymphatic vessels (Figure 1) which is considered to significantly decrease the incidence of hydrocele formation, testicular artery injury (and testicular atrophy) and recurrence (Figure 2).


Varicocele as a source of male infertility - current treatment techniques.

Kupis Ł, Dobroński PA, Radziszewski P - Cent European J Urol (2015)

Microsurgical varicocelectomy. Veins after isolation and suture ligation. Identified spermatic artery – marked with a different colour suture (own material).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4643713&req=5

Figure 0002: Microsurgical varicocelectomy. Veins after isolation and suture ligation. Identified spermatic artery – marked with a different colour suture (own material).
Mentions: Microsurgical varicocelectomy seems to have only one disadvantage – operation duration which is significantly longer than other surgical techniques that require training. What is more is that the microscope is now brought into the operating field in order to improve the ability in differing arteries, veins and lymphatic vessels (Figure 1) which is considered to significantly decrease the incidence of hydrocele formation, testicular artery injury (and testicular atrophy) and recurrence (Figure 2).

Bottom Line: Nevertheless, its role remains unclear.The best treatment option seems to be microscopic surgery - the most effective and linked to rare surgical complications.But the greatest clinical problem remains the selection of patients to treat - recently it is believed that varicocelectomy is a possibly advisable option in patients with clinical varicocele and seminal parameter impairment [1].

View Article: PubMed Central - PubMed

Affiliation: Warsaw Medical University, Department of Urology, Poland.

ABSTRACT
To establish the extent of varicocele as the cause of infertility in men and compare the various techniques of treatment. We searched PubMed and the Cochrane Library database using varicocele, male infertility, varicocelectomy as keywords. Varicocele seems to be a growing problem considered to be one of the most common causes of male infertility in recent times. Nevertheless, its role remains unclear. The best treatment option seems to be microscopic surgery - the most effective and linked to rare surgical complications. But the greatest clinical problem remains the selection of patients to treat - recently it is believed that varicocelectomy is a possibly advisable option in patients with clinical varicocele and seminal parameter impairment [1]. More high-quality, multicenter, long-term randomized controlled trials (RCT's) are required to verify the findings.

No MeSH data available.


Related in: MedlinePlus