Microsurgical varicocelectomy： a review

Varicocelectomy is the most commonly performed surgical procedure for the treatment of male infertility. Although several different techniques for varicocele repair have been described in the literature, microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized...

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Bibliographic Details
Published inAsian journal of andrology Vol. 15; no. 1; pp. 56 - 60
Main Authors Mehta, Akanksha, Goldstein, Marc
Format Journal Article
LanguageEnglish
Published China Medknow Publications & Media Pvt. Ltd 01.01.2013
Nature Publishing Group
Subjects
Adolescent
Adult
DNA Fragmentation
Humans
Infertility, Male - etiology
Infertility, Male - surgery
Male
Microsurgery - methods
Pain - etiology
Review
Testosterone - blood
Testosterone - deficiency
Treatment Outcome
Varicocele - complications
Varicocele - surgery
修复技术
发育不良
外科手术
标准方法
男性不育症
精液异常
精索静脉曲张
血清睾酮
Online AccessGet full text
ISSN1008-682X
1745-7262
1745-7262
DOI10.1038/aja.2012.98

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Summary:Varicocelectomy is the most commonly performed surgical procedure for the treatment of male infertility. Although several different techniques for varicocele repair have been described in the literature, microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized as the gold-standard approach for varicocelectomy, due to high success rates with minimal complications. Standard indications for varicocelectomy include palpable varicocele（s）, with one or more abnormal semen parameters, and, for the couple trying to conceive, in the setting of normal or correctable female infertility. However, varicocele repair is often recommended and undertaken for reasons other than infertility, including low serum testosterone, testicular pain, testicular hypotrophy and poor sperm DNA quality. This article reviews the technical aspects of microsurgical varicocelectomy, and its indications in adults and adolescents.
Bibliography:Akanksha Mehta and Marc Goldstein Department of Urology and Center for Male Reproductive Medicine and Surgery, Weill Cornell Medical College, New York, NY 10021, USA
DNA fragmentation; hypogonadism; infertility; microsurgical varicocelectomy; orchalgia; varicocele repair
Varicocelectomy is the most commonly performed surgical procedure for the treatment of male infertility. Although several different techniques for varicocele repair have been described in the literature, microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized as the gold-standard approach for varicocelectomy, due to high success rates with minimal complications. Standard indications for varicocelectomy include palpable varicocele（s）, with one or more abnormal semen parameters, and, for the couple trying to conceive, in the setting of normal or correctable female infertility. However, varicocele repair is often recommended and undertaken for reasons other than infertility, including low serum testosterone, testicular pain, testicular hypotrophy and poor sperm DNA quality. This article reviews the technical aspects of microsurgical varicocelectomy, and its indications in adults and adolescents.
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ISSN:1008-682X
1745-7262
1745-7262
DOI:10.1038/aja.2012.98