Varicocelectomy before assisted reproductive technology: are outcomes improved?

被引:42
作者
Kohn, Taylor P. [1 ]
Kohn, Jaden R. [1 ]
Pastuszak, Alexander W. [2 ,3 ]
机构
[1] Baylor Coll Med, Houston, TX 77030 USA
[2] Baylor Coll Med, Ctr Reprod Med, Houston, TX 77030 USA
[3] Baylor Coll Med, Scott Dept Urol, Houston, TX 77030 USA
基金
美国国家卫生研究院;
关键词
Varicocele; varicocelectomy; intrauterine insemination; in vitro fertilization; intracytoplasmic sperm injection; MICROSURGICAL VARICOCELECTOMY; SEMEN PARAMETERS; MEN; PREGNANCY; REPAIR; INFERTILITY; FERTILIZATION; TESTOSTERONE; QUALITY; IMPACT;
D O I
10.1016/j.fertnstert.2017.06.033
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Clinical varicoceles have been associated with impaired semen parameters and male-factor infertility. Varicocele repair can improve live birth rates for men with clinical varicocele. Varicocelectomy is often combined with assisted reproductive techniques (ART) such as intrauterine insemination (IUI), in vitro fertilization (IVF), or intracytoplasmic sperm injection (ICSI). Here we review the literature examining varicocelectomy before ART to evaluate whether improved pregnancy outcomes are realized. Although insufficient evidence exists to determine if correcting a varicocele improves IUI outcomes, a clinical benefit is observed when correcting a clinical varicocele in oligospermic and nonobstructed azoospermic men before IVF/ICSI. In couples seeking fertility with the use of ART, varicocele repair may offer improvement in semen parameters and may decrease the level of ART needed to achieve successful pregnancy. (C) 2017 by American Society for Reproductive Medicine.
引用
收藏
页码:385 / 391
页数:7
相关论文
共 50 条
[31]   Effect of paternal age on outcomes in assisted reproductive technology cycles: systematic review and meta-analysis [J].
Morris, Guy ;
Mavrelos, Dimitrios ;
Theodorou, Efstathios ;
Campbell-Forde, Mia ;
Cansfield, David ;
Yasmin, Ephia ;
Sangster, Philippa ;
Saab, Wael ;
Serhal, Paul ;
Seshadri, Srividya .
F&S REVIEWS, 2020, 1 (01) :16-34
[32]   Serum inhibin B levels before and after varicocelectomy in early adolescence [J].
Cavarzere, P. ;
Sulpasso, M. ;
Maines, E. ;
Vincenzi, M. ;
Gaudino, R. ;
Monti, E. ;
Chironi, C. ;
Tato, L. ;
Antoniazzi, F. .
JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION, 2011, 34 (09) :E265-E267
[33]   The effect of body mass index on the outcomes of first assisted reproductive technology cycles [J].
Moragianni, Vasiliki A. ;
Jones, Stephanie-Marie L. ;
Ryley, David A. .
FERTILITY AND STERILITY, 2012, 98 (01) :102-108
[34]   Soy food intake and treatment outcomes of women undergoing assisted reproductive technology [J].
Vanegas, Jose C. ;
Afeiche, Myriam C. ;
Gaskins, Audrey J. ;
Minguez-Alarcon, Lidia ;
Williams, Paige L. ;
Wright, Diane L. ;
Toth, Thomas L. ;
Hauser, Russ ;
Chavarro, Jorge E. .
FERTILITY AND STERILITY, 2015, 103 (03) :749-U467
[35]   Short and long term outcomes of children conceived with. assisted reproductive technology [J].
Turkgeldi, Engin ;
Yagmur, Hande ;
Seyhan, Ayse ;
Urman, Bulent ;
Ata, Baris .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2016, 207 :129-136
[36]   Effect of performing varicocelectomy before intracytoplasmic sperm injection on clinical outcomes in non-azoospermic males [J].
Mehmet Ilker Gokce ;
Ömer Gülpınar ;
Evren Süer ;
Murat Mermerkaya ;
Kaan Aydos ;
Önder Yaman .
International Urology and Nephrology, 2013, 45 :367-372
[37]   Are sperm parameters able to predict the success of assisted reproductive technology? A retrospective analysis of over 22,000 assisted reproductive technology cycles [J].
Villani, Maria Teresa ;
Morini, Daria ;
Spaggiari, Giorgia ;
Falbo, Angela Immacolata ;
Melli, Beatrice ;
La Sala, Giovanni Battista ;
Romeo, Marilina ;
Simoni, Manuela ;
Aguzzoli, Lorenzo ;
Santi, Daniele .
ANDROLOGY, 2022, 10 (02) :310-321
[38]   Birth outcomes of intended pregnancies among women who used assisted reproductive technology, ovulation stimulation, or no treatment [J].
D'Angelo, Denise V. ;
Whitehead, Nedra ;
Helms, Kristen ;
Barfield, Wanda ;
Ahluwalia, Indu B. .
FERTILITY AND STERILITY, 2011, 96 (02) :314-U367
[39]   Assisted reproductive technology outcomes and management considerations for people with epilepsy [J].
Lemley, Regan J. ;
Voinescu, Paula Emanuela .
CURRENT OPINION IN ENDOCRINOLOGY DIABETES AND OBESITY, 2023, 30 (06) :280-284
[40]   Trends and Correlates of Good Perinatal Outcomes in Assisted Reproductive Technology [J].
Joshi, Nikhil ;
Kissin, Dmitry ;
Anderson, John E. ;
Session, Donna ;
Macaluso, Maurizio ;
Jamieson, Denise J. .
OBSTETRICS AND GYNECOLOGY, 2012, 120 (04) :843-851