The physical characteristics of young males with varicocele

Delaney, Daniel P.; Carr, Michael C.; Kolon, Thomas F.; Snyder, Howard M.; Zderic, Stephen A.

doi:10.1111/j.1464-410x.2004.05013.x

Cited by 54 publications

(48 citation statements)

References 5 publications

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“…In 12 studies: first, no significant differences in BMI were detected (Delaney et al, 2004;Kilic et al, 2007), secondly, patients with varicocoele had a distinctly lower BMI (May et al, 2006;Baek et al, 2011), and thirdly, the number of the varicocoele patients decreased as the BMI increased, as found by others (Handel et al, 2006;Nielsen et al, 2006;Prabakaran et al, 2006;Kumanov et al, 2008;Tsao et al, 2009;Al-Ali et al, 2010;Chen & Huang, 2010;Hassanzadeh et al, 2011;Soylemez et al, 2012) and us. It is clear that obesity may lead to decreased detection of varicocoele, even in our study, because of difficulty in palpation on physical examination.…”

Section: Discussionsupporting

confidence: 55%

Association of left varicocoele with height, body mass index and sperm counts in infertile men

et al. 2012

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SUMMARYThe aim of this study was to evaluate interrelation of left varicocoele with height, body mass index (BMI) and sperm counts. We retrospectively evaluated the data of all patients who consulted for infertility at a tertiary academic referral centre from 2000 to 2010. Patient's height, weight, BMI, semen analysis, presence or absence of varicocoele and varicocoele side and grade were evaluated. In statistical evaluations chi-square, student's t, Mann-Whitney U, ANOVA and logistic regression analyses were performed. In ANOVA analyses, Bonferroni post hoc test was performed when needed. The data of 1842 among 2780 men, presenting for infertility, were included in the study. There were 587 men (31.9%) with left varicocoele and 1255 (68.1%) men without varicocoele. Two hundred and seventy-two men (14.8%) had grade I or II, and 315 men (17.1%) had grade III varicocoeles. Mean height was 174.3 ± 6.7 and 172.5 ± 7.0 cm in men with and without varicocoele respectively (p < 0.001). The mean BMI of cases without varicocoeles (25.8 kg/m 2 ) was greater than varicocoele group (24.9 kg/m 2 ) (p < 0.001). Percentage of varicocoele was the highest in moderately oligozoospermic males and significantly higher than the men with normal sperm count. As the height increased, the probability of having varicocoele increased, and the inverse is true for BMI. If varicocoeles are a progressive lesion, perhaps taller men with varicocoeles should be followed more closely to evaluate their fertility and androgenic status.

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Section: Discussionsupporting

confidence: 55%

Association of left varicocoele with height, body mass index and sperm counts in infertile men

et al. 2012

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“…We presume that the risk for selection bias because of fertility problems is the same in both the participants and the control group (the participation rate in the control group was 31%) as the control group was not a group of chart-selected, mostly fertile men. A high occurrence of varicocele in tall men is described (Delaney, 2004). In this study, the incidence of varicocele in the control group was twice as high compared with that in the patient group.…”

Section: Discussionmentioning

confidence: 55%

Fertility potential in men with a history of congenital undescended testes: a long‐term follow‐up study

et al. 2012

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Men with a history of congenital undescended testes (UDT) have an increased risk of fertility problems. Despite no definitive proof, current guidelines recommend early surgical intervention because this may have a positive effect on future fertility potential by preventing degenerative changes of the testes in early life. Also surgical intervention facilitates observability of the testes in view of possible malignancy. We evaluated testicular function in adult men with previous UDT treated at different ages before puberty. A longterm follow-up study of men with previous UDT was performed. Andrological evaluation included medical history taking, physical examination, scrotal ultrasound, determination of reproductive hormones, and semen analysis. Findings were compared with those of a control group of men with normal testicular descent. The influence of age at orchiopexy on future fertility parameters was evaluated in a multivariate regression analysis. 62 men were included of whom seven had had bilateral UDT. Twenty-four patients had had their orchiopexy before the age of 24 months of whom eight men had it before 12 months of age. Forty-eight men had had unsuccessful luteinizing-hormone-releasing-hormone (LHRH) nasal spray treatment during childhood, whereas 14 of 24 men operated before 24 months of age had not received LHRH treatment before orchiopexy. Fertility potential in men with a history of UDT is compromised in comparison with controls. We could not detect any influence of age at orchiopexy on fertility parameters. However, the number of patients operated before the age of 12 months is limited. This study does not support the assumption that early orchiopexy results in better fertility potential.

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“…The boys with less adipose tissue were more prone to develop varicocele. Since BMI is associated with adiposity, it does not exclude the possibility of increased muscle mass in patients with varicocele [8] . It is also possible that boys with a lower BMI are physically more active, which might be a causative factor in the development of varicocele.…”

Section: Discussionmentioning

confidence: 99%

Adolescent Varicocele: Association with Somatometric Parameters

Prabakaran¹,

Kumanov²,

Tomova³

et al. 2006

Urol Int

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Introduction: The developmental changes that occur as a result of puberty have been hypothesized to be important causes of varicocele. Various somatometric parameters were known to affect the occurrence of varicocele during the growth period. We conducted this study in order to examine these relationships and to determine the incidence of varicocele in adolescent males. Patients and Methods: We evaluated 1,200 healthy males aged 0–19 years for varicocele and correlated it with the following somatometric parameters: age, height, body mass index (BMI), pubic hair distribution, penile length and testicular volume. Results: Adolescent varicocele was found in 5.6% of the participants. The 13- to 19-year age-group had the highest incidence of varicocele (10.5%). Logistic regression analysis showed that the incidence was positively correlated with age, height and penile length (odds ratio 1.61, 1.04 and 1.37, respectively) and negatively correlated with left testicular volume, BMI and pubic hair distribution (odds ratio 0.87, 0.87 and 0.47, respectively).Conclusion: Varicocele was more prevalent in tall boys with a lower BMI, who had quickly progressed through puberty. Our observations suggest that varicocele is associated with various somatometric parameters.

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The physical characteristics of young males with varicocele

Cited by 54 publications

References 5 publications

Association of left varicocoele with height, body mass index and sperm counts in infertile men

Association of left varicocoele with height, body mass index and sperm counts in infertile men

Fertility potential in men with a history of congenital undescended testes: a long‐term follow‐up study

Adolescent Varicocele: Association with Somatometric Parameters

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