Urol. praxi. 2019;20(2):66-69 | DOI: 10.36290/uro.2019.009

Varicocele

MUDr. Marcel Drlík, FEAPU, doc. MUDr. Radim Kočvara, CSc., FEAPU
Urologická klinika 1. LF UK a VFN, Praha

Varicocele is defined as an enlarged overfilled pampiniform venous plexus due to venous reflux. It is a very frequent pathology,
affecting about 14–20% of adolescents and young men. Although many studies proved an existing link between varicocele and
impaired fertility, only 20% of men with varicocele are subfertile. Selection of a patient who would benfit of a treatment and the
best treatment option still remain matters of debate.

Keywords: varicocele, infertility, lymphatic sparing varicocelectomy

Received: March 7, 2019; Accepted: March 26, 2019; Prepublished online: March 26, 2019; Published: May 17, 2019  Show citation

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Drlík M, Kočvara R. Varicocele. Urol. praxi. 2019;20(2):66-69. doi: 10.36290/uro.2019.009.
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    References

    1. Pfeiffer D, Berger J, Schoop C, Tauber R. A Doppler-based study on the prevalence of varicocele in German children and adolescents. Andrologia 2006; 38: 13-19. Go to original source... Go to PubMed...
    2. Gorelick JI, Goldstein M. Loss of fertility in men with varicocele. Fertil Steril. 1993; 59(3): 613-616. Go to original source...
    3. Abdel-Meguid TA, Al-Sayyad A, Tayib A, Farsi HM. Does varicocele repair improve male infertility? An evidence-based perspective from a randomized, controlled trial. Eur Urol. 2011; 59(3): 455-461. Go to original source... Go to PubMed...
    4. Zini A, Dohle G. Are varicoceles associated with increased deoxyribonucleic acid fragmentation? Fertil Steril. 2011; 96: 1283-1287. Go to original source... Go to PubMed...
    5. Damsgaard J, Joensen UN, Carlsen E, et al. Varicocele Is Associated with Impaired Semen Quality and Reproductive Hormone Levels: A Study of 7035 Healthy Young Men from Six European Countries. Eur Urol. 2016; 70(6): 1019-1029. Go to original source... Go to PubMed...
    6. Abdel-Meguid TA. Predictors of sperm recovery and azoospermia relace in men with nonobstructive azoospermia after varicocele repair. J Urol 2012; 187(1): 222-226. Go to original source... Go to PubMed...
    7. Radmayr C, Bogaert G, Dogan HS, et al. EAU Guidelines on Paediatric Urology, 2018 Edition, European Association of Urology 2018; 136.
    8. Kolon TF, Clement MR, Cartwright L, Bellah R, Carr MC, Canning DA, Snyder HM. 3rd. Transient asynchronous testicular growth in adolescent males with a varicocele. J Urol 2008; 180(3): 1111-1114. Go to original source... Go to PubMed...
    9. Silay MS, Hoen L, Quadackaers J, et al. Treatment of Varicocele in Children and Adolescents: A Systematic Review and Meta-analysis from the European Association of Urology/European Society for Paediatric Urology Guidelines Panel. Eur Urol. 2019; 75(3): 448-461. Go to original source... Go to PubMed...
    10. Wang J, Xia SJ, Liu ZH, Tao L,Ge JF, Xu CM, Qiu JX. Inguinal and subinguinal microvaricocelectomy, the optimal surgical management of varicocele: a metaanalysis. Asian J Androl. 2015; 17(1): 74-80. Go to original source... Go to PubMed...
    11. Cayan S, Shavakhabov S, Kadio?lu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2009; 30(1): 33-40. Go to original source... Go to PubMed...
    12. Chan PT, Wright EJ, Goldstein M. Incidence and postoperative outcomes of accidental ligation of the testicular artery during microsurgical varicocelectomy. J Urol. 2005; 173(2): 482-484. Go to original source... Go to PubMed...
    13. Študent V, Záťura F, Scheinar J, Vrtal R, Vrána J. Testicle hemodynamics in patients after laparoscopic varicocelectomy evaluated using color Doppler sonography. Eur Urol 1998; 33: 91-93. Go to original source... Go to PubMed...
    14. Kočvara R, Sedláček J, Dítě Z, Zvěřina J, Zvárová J, Dvořáček J. Mikrochirurgická operace varikokély u dětí a dospívajících - prospektivní srovnání laparoskopické a otevřené subingvinální operace. Česká urologie. 2010; 14: 148-155.
    15. Podkamenev VV, Stalmakhovich VN, Urkov PS, Solojev AA, Iljin VP. Laparoscopic surgery for pediatric varicoceles: randomized controlled trial. J Pediatr Surg 2002; 37: 727-729. Go to original source... Go to PubMed...
    16. Shiraishi K, Oka S, Matsuyama H. Surgical comparison of subin-guinal and high inguinal microsurgical varicocelectomy for adolescent varicocele. Int J Urol 2016; 23: 338-342. Go to original source... Go to PubMed...
    17. Kočvara R, Doležal J, Hampl R, et al. Division of lymphatic vessels at varicocelectomy leads to testicular oedema and decline in testicular function according to the LH-RH analogue stimulation test. Eur Urol 2003; 43: 430-435. Go to original source... Go to PubMed...
    18. Golebiewski A, Krolak M, Komasara L, Czauderna P. Dye-assisted lymph vessels sparing laparoscopic varicocelectomy. J Laparoen-dosc Adv Surg Tech A 2007; 17: 360-363. Go to original source... Go to PubMed...
    19. Schwentner C, Radmayr C, Lunacek A, Gozzi C, Pinggera GM, Neururer R, Peschel R, Bartsch G, Oswald J. Laparoscopic varicocele ligation in children and adolescents using isosulphan blue: a prospective randomized trial. BJU Int 2006; 98: 861-865. Go to original source... Go to PubMed...
    20. Zampieri N, Zuin V, Corroppolo M, Chironi C, Cervellione RM, Camoglio FS. Varicocele and adolescents: semen quality after 2 different laparoscopic procedures. J Androl 2007; 28: 727-733. Go to original source... Go to PubMed...
    21. Kočvara R, Dvořáček J, Sedláček J, Dítě Z, Novák K. Lymphatic sparing laparoscopic varicocelectomy: a microsurgical repair. J. Urol. 2005; 173(5): 1751-1754. Go to original source... Go to PubMed...

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