Varicocele: To Treat or Not to Treat?

被引：22

作者：

Franco, Antonio ^{[1
]}

Proietti, Flavia ^{[2
]}

Palombi, Veronica ^{[2
]}

Savarese, Gabriele ^{[2
]}

Guidotti, Michele ^{[3
]}

Leonardo, Costantino ^{[2
]}

Ferro, Fabio ^{[4
]}

Manna, Claudio ^{[5
]}

Franco, Giorgio ^{[2
]}

机构：

[1] Sapienza Univ Rome, St Andrea Hosp, Dept Urol, I-00185 Rome, Italy

[2] Sapienza Univ Rome, Dept Maternal & Child Hlth & Urol Sci, Policlin Umberto 1, I-00185 Rome, Italy

[3] Nuovo Osped Castelli, Dept Urol, I-00040 Rome, Italy

[4] Mater Dei Hosp, I-00197 Rome, Italy

[5] Biofertil IVF & Infertil Ctr, I-00198 Rome, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 12期

关键词：

varicocele repair; varicocelectomy; ART; infertility; SUBCLINICAL VARICOCELE; PREGNANCY RATE; NONOBSTRUCTIVE AZOOSPERMIA; UNILATERAL VARICOCELECTOMY; COST-EFFECTIVENESS; MALE SUBFERTILITY; SEMEN PARAMETERS; MALE-INFERTILITY; MEN; REPAIR;

D O I：

10.3390/jcm12124062

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Varicocele treatment in infertility still remains controversial. It is clear, in fact, that in many patients, varicocele has no impact on fertility. Recent scientific evidence demonstrated that varicocele treatment is beneficial in improving semen parameters and pregnancy rate when an appropriate selection of patients is made. The purpose of treating varicocele in adults is mainly to improve current fertility status. On the other hand, the goal of treatment in adolescents is to prevent testicular injury and maintain testicular function for future fertility. Hence, the key to the success of varicocele treatment seems to be a correct indication. The aim of this study is to review and summarize current evidence in managing varicocele treatment focusing on the controversies regarding surgical indications in adolescent and adult patients, and in other specific situations such as azoospermia, bilateral or subclinical varicocele, and prior to ART.

引用

页数：13

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