Adolescent Varicoceles and Infertility

被引：16
作者：
Casey, Jessica T. [1 ]
Misseri, Rosalla [1 ]
机构：
[1] Riley Hosp Children, Dept Pediat Urol, Indianapolis, IN 46202 USA
来源：
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA | 2015年 / 44卷 / 04期
关键词：
Varicocele; Infertility; Adolescent; Semen analysis; Varicocelectomy; OXYGEN SPECIES LEVELS; SERUM TESTOSTERONE; TESTICULAR HYPOTROPHY; SEMEN PARAMETERS; GRADE; MEN; MANAGEMENT; REPAIR; INCREASES; PATERNITY;
D O I：
10.1016/j.ecl.2015.07.007
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Varicoceles are associated with testicular atrophy and abnormal spermatogenesis. Varicocele-related testicular damage is thought to be progressive in nature. Adult varicoceles are common in men with infertility, and varicocele repair in this population has demonstrated improved semen parameters and paternity outcomes. However, without solid objective endpoints (reproducible semen analyses, paternity), the indications for adolescent varicocele repair remain controversial. Given the controversy surrounding adolescent varicocele management, it is not surprising that surveys of pediatric urologists have revealed a lack of consensus on diagnostic approaches, treatment decisions, and operative approaches.
引用
收藏
页码：835 / +
页数：9
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