Andrology: Varicocele: An update

被引:4
作者
Weidner W. [1 ]
Pilatz A. [1 ]
Altinkilic B. [1 ]
机构
[1] Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Justus Liebig-Universität Gieen, 35392 Gieen
来源
Der Urologe | 2010年 / 49卷 / Suppl 1期
关键词
Infertility; Operative therapy; Pregnancy rate; Varicocele;
D O I
10.1007/s00120-010-2374-9
中图分类号
学科分类号
摘要
Varicocele is a common finding in approximately 20% of adolescents and adult men and in about 40% of infertile patients. Although numerous theories addressing the deteriorating impact on the testis are known, the direct connection between varicocele and infertility is not clear. It is well known that after operative therapies an improvement in sperm quality is found. However, the impact on pregnancy in an infertile coupleship is controversial. While the most recent meta-analysis found an increased pregnancy rate after therapy, the Cochrane Reviews with the last update in 2009 did not. In summary, operative therapy seems justified in selected patients with infertility. © 2010 Springer-Verlag.
引用
收藏
页码:163 / 165
页数:2
相关论文
共 11 条
[1]  
Weissbach L., Gleissner J., Gleissner O., Buszello O., Häufigkeit der Varikozele, Dtsch Med Wochenschr, 1, pp. 17-21, (1983)
[2]  
Manual for the Standardized Investigation, Diagnosis and Management of the Infertile Male, (2000)
[3]  
Zini A., Boman J.M., Varicocele: Red flag or red herring?, Semin Reprod Med, 27, pp. 171-178, (2009)
[4]  
Cayan S., Shavakhabov S., Kadioglu A., Treatment of palpable varicocele in infertile men: A meta-analysis to define the best technique, J Androl, 30, pp. 33-40, (2009)
[5]  
Kliesch S., Kontra Varikozelentherapie, Aktuel Urol, 39, pp. 263-264, (2008)
[6]  
Nieschlag E., Hertle L., Fischedick A., Et al., Update on treatment of varicocele: Counselling as effective as occlusion of the vena spermatica, Hum Reprod, 10, pp. 347-353, (1995)
[7]  
Nieschlag E., Hertle L., Fischedick A., Abshagen K., Behre H.M., Update on treatment of varicocele: Counselling as effective as occlusion of the vena spermatica, Human Reproduction, 13, 8, pp. 2147-2150, (1998)
[8]  
Evers J.L.H., Collins J., Clarke J., Surgery or embolisation for varicoceles in subfertile men, Cochrane Database of Systematic Reviews, (2009)
[9]  
Marmar J.L., Agarwal A., Prabakaran S., Agarwal R., Short R.A., Benoff S., Thomas Jr. A.J., Reassessing the value of varicocelectomy as a treatment for male subfertility with a new meta-analysis, Fertility and Sterility, 88, 3, pp. 639-648, (2007)
[10]  
Ficarra V., Cerruto M.A., Liguori G., Mazzoni G., Minucci S., Tracia A., Gentile V., Treatment of varicocele in subfertile men: The cochrane review - A contrary opinion, European Urology, 49, 2, pp. 258-263, (2006)