Epidemiology of Varicocele in Pediatric, Adolescent, and Adult Populations

Alharbi, Mohannad; Zini, Armand

doi:10.1007/978-3-319-79102-9_8

Cited by 1 publication

(3 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the American Urological Association and the American Society of Reproductive Medicine, varicocele repair is recommended for patients with clinically palpable varicocele, documented male factor infertility in an abnormal semen parameter, or in the setting of normal or potentially correctable female infertility. [ 1 4 ] This is in contrast to the European Association of Urology guidelines that recommend varicocelectomy in the case of clinically palpable varicocele, oligozoospermia, and unexplained infertility.…”

Section: Discussionmentioning

confidence: 97%

“…Varicocele is encountered in 15% of the normal adult male population. [ 1 ] The prevalence among adult males with primary infertility is 35% and up to 80% among adult males with secondary infertility. [ 1 ] The benefit of varicocelectomy in male infertility remains controversial; not all men who undergo varicocelectomy experience an improvement in their fertility after surgery.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 ] The prevalence among adult males with primary infertility is 35% and up to 80% among adult males with secondary infertility. [ 1 ] The benefit of varicocelectomy in male infertility remains controversial; not all men who undergo varicocelectomy experience an improvement in their fertility after surgery. [ 2 ] Associated factors have been studied in the literature, and authors have reported higher grade varicoceles, higher baseline sperm concentration, and higher total motile sperm will have marked improvements in their semen parameters and their reproductive outcomes.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Varicocelectomy outcomes among patients with azoospermia and severe oligasthenoteratozoospermia

Alkhayal,

Aljumaiah,

Alyami

et al. 2023

Urology Annals

View full text Add to dashboard Cite

Background: Varicocele is a reversible cause of male infertility. However, there are conflicting data available concerning the benefit of varicocele repair for patients with nonobstructive azoospermia (NOA) and severe oligoasthenoteratozoospermia (OAT). Objective: To address the benefit of varicocelectomy in patients with severe OAT and NOA with regard to their semen parameters and surgical sperm retrieval rate in those who underwent testicular sperm extraction (TESE) or testicular sperm aspiration (TESA). Materials and Methods: This retrospective cohort study was conducted on a sample of 13 patients diagnosed with NOA and severe OAT who underwent varicocelectomy for infertility treatment with no prespecified exclusion criteria. Results: Thirteen patients were enrolled. Five patients were diagnosed with NOA; eight were diagnosed with severe OAT. For improvements in the semen parameters postoperatively, the semen concentration of all patients was significantly increased compared to the preoperative concentration (3.59 ± 10.0.8 vs. 0.25 ± 0.31, P = 0.02) and the remaining parameters were unchanged. Regarding sperm retrieval, three patients underwent TESE and two patients underwent TESA, in which all had positive results. Conclusion: Varicocele repair was found to improve the semen parameters in patients with NOA and severe OAT and produced a successful surgical sperm retrieval rate in all patients who underwent TESA or TESE.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%