Adolescent varicocoele management controversies

Şerefoğlu, Ege Can; Saitz, Theodore R.; Nasa, Joseph A. La

doi:10.1111/j.2047-2927.2012.00004.x

Cited by 20 publications

(15 citation statements)

References 84 publications

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“…Most cases of extra-testicular (obstructive) male infertility require surgical interventions. Varicoceles management involves surgical treatment, including laparoscopic procedures, embolisation and laser obliteration [48,49]. Available data demonstrate that the treatment of varicoceles results in satisfactory outcomes: improved quality of sperm is observed in 70-80% of men; however, there is a lack of improvement in 15-20% while deterioration occurs in about 5%.…”

Section: Objectivementioning

confidence: 99%

Infertility in the light of new scientific reports – focus on male factor

Szkodziak¹,

Woźniak²,

Czuczwar³

et al. 2016

Ann Agric Environ Med.

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Section: Objectivementioning

confidence: 99%

Infertility in the light of new scientific reports – focus on male factor

Szkodziak¹,

Woźniak²,

Czuczwar³

et al. 2016

Ann Agric Environ Med.

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“…Male infertility is a major public health problem that has been increasing in recent decades, at least in Western countries (Carlsen et al ., ; Swan et al ., ). Varicocoele, an abnormal dilation of the veins of the pampiniform plexus of the spermatic cord, is the most common surgically correctable cause of male infertility (Dubin & Amelar, ; Sigman & Jarow, ; Serefoglu et al ., ). It is a common entity among adolescents and young adults with prevalence rates ranging from 3 to 25% in the general population, varying by method of examination, population characteristics and age at examination (Oster, ; Steeno et al ., ; Stavropoulos et al ., ; Kumanov et al ., ).…”

Section: Introductionmentioning

confidence: 97%

Varicocoele among 1 300 000 Israeli adolescent males: time trends and association with body mass index

et al. 2013

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SUMMARYScarce data are available on epidemiology of varicocoele, the most common surgically correctable cause of male infertility. The objectives of this study were to evaluate the association between body mass index (BMI) and varicocoele and to assess trends in prevalence over time. We conducted a nationwide population-based long-term (1967-2010) study among 1 323 061 Israeli adolescent males using data from mandatory medical examination. BMI was grouped into underweight, normal weight, overweight and obese categories by percentiles adjusted for age in months and by further classification to five categories within normal weight. Univariable and multivariable logistic regression models were constructed, adjusting for possible confounders. Varicocoele prevalence (N = 47 398) increased during the study period from 1.6% for the 1950-1954 birth cohort to 4.6% for the 1990-1993 birth cohort, with the steepest rise in the normal weight group. Varicocoele unadjusted rates were highest (4.1%) among underweight and lowest (1.6%) among obese. In a multivariable model, adjusted for birth cohort, height, age and socio-demographic factors, we found a decreased risk for varicocoele in the overweight group [odds ratio (OR) = 0.51, 95% confidence interval (CI): 0.49, 0.54] and the obese group (OR = 0.34, 95% CI: 0.32, 0.37), compared with the normal weight group. Within the normal weight group, a monotonic inverse association between BMI percentile and varicocoele was observed, most notable among 75-84.9 percentile compared to 25-49.9 percentile (OR = 0.65, 95% CI: 0.63, 0.68). In conclusion, varicocoele is common among adolescents in Israel, and its prevalence had increased in recent decades, providing clues to direct further andrological research on the role of modern lifestyle and environment in the aetiology of varicocoele. BMI, across percentiles, was found to be monotonically inversely associated with varicocoele, thus directing research and clinical efforts.

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“…Varicocele is clinically defined as excessive dilation of the veins of the pampiniform venous plexus and the testicular veins (Serefoglu, Saitz, La Nasa, & Hellstrom, ). The prevalence of varicocele ranges between 15% and 22% in male adults.…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneal high ligation versus subinguinal varicocelectomy: Effectiveness of two different varicocelectomy techniques on the treatment of painful varicocele

et al. 2019

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In the present study, we compared the retroperitoneal high ligation with subinguinal varicocelectomy on the treatment of painful varicocele. A total of 90 patients who underwent retroperitoneal high ligation (n = 45) and subinguinal varicocelectomy (n = 45) for painful varicocele were included in this prospective study. Varicocele in all patients was diagnosed with by physical examination and coloured Doppler ultrasonography. All the patients underwent a conservative treatment for pain for 4 weeks. Patient ages, varicocele grades, preoperative pain scores, postoperative pain scores at 6 months, duration of surgeries, complications and recurrences were recorded. Complete success rate for chronic scrotal pain was found to be 80% in retroperitoneal varicocelectomy group and 71% in subinguinal varicocelectomy group. Partial success rate was 11% for retroperitoneal varicocelectomy group and 18% for subinguinal ligation group. There was no significant difference between two groups in terms of pain and complications. However, the operation time was significantly lower in the Palomo group. Although microsurgical subinguinal varicocelectomy is the current approach for the treatment of varicocele, retroperitoneal high ligation can achieve the same pain resolution with shorter operative duration compared to loupe‐assisted subinguinal varicocelectomy.

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Adolescent varicocoele management controversies

Cited by 20 publications

References 84 publications

Infertility in the light of new scientific reports – focus on male factor

Infertility in the light of new scientific reports – focus on male factor

Varicocoele among 1 300 000 Israeli adolescent males: time trends and association with body mass index

Retroperitoneal high ligation versus subinguinal varicocelectomy: Effectiveness of two different varicocelectomy techniques on the treatment of painful varicocele

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