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Journal of Education, Health and Sport

Varicocele – impact on fertility and results of various methods of surgical treatment
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Varicocele – impact on fertility and results of various methods of surgical treatment

Authors

  • Ewa Szymańska Uniwersytecki Szpital Kliniczny w Opolu https://orcid.org/0000-0002-3091-7122
  • Sandra Ostaszewska Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej – Centralny Szpital Weteranów https://orcid.org/0000-0003-3708-6920
  • Kinga Świąder Uniwersytet Medyczny w Łodzi https://orcid.org/0000-0003-0185-6524
  • Kinga Augustynowicz Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej – Centralny Szpital Weteranów https://orcid.org/0000-0003-4547-9599
  • Jakub Chrzanowski Szpital Bielański im. Ks. Jerzego Popiełuszki https://orcid.org/0000-0002-5077-4755

DOI:

https://doi.org/10.12775/JEHS.2023.13.02.031

Keywords

varicoceles, varicocelectomy, infertility

Abstract

Introduction: Varicoceles, a dilation of veins within the pampiniform plexus, are present
in ∼15% of the general male population. In this article we reviewed the epidemiology, symptoms,
and various surgical techniques for the treatment of varicoceles and the results of following treatment.
Material and methods: The work was based on medical articles collected in PubMed, websites
and medical books. The research was conducted by looking at keywords such as: "Varicoceles", "varicocelectomy" and “infertility”.

Results: There are many methods of treating varicoceles ranging from Microsurgical subinguinal varicocelectomy (MSV) or Laparoscopic varicocelectomy.

Conclusions: The interdisciplinary approach to the patient and innovative surgical techniques can provide us with many solutions in the treatment of the disease.

Doctors should adjust treatment to provide the best therapeutic effects.

References

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Braedel HU, Steffens J, Ziegler M, Polsky MS, Platt ML. A possible ontogenic etiology for idiopathic left varicocele. J Uro. 1994;151:62–6.

Scott L.S. Varicocele: a treatable cause of subfertility. Br Med J. 1961; 1: 788-790

Dahl E.V. , Herrick J.F. A vascular mechanism for maintaining testicular temperatures by countercurrent exchange. Surg Gynecol Obstet. 1959; 108: 697-705

Fretz P.C. ,Sandlow J.I. Varicocele: current concepts in pathophysiology, diagnosis, and treatment. Urol Clin North Am. 2002; 29: 921-937

Yin Y. , Hawkins K.L. , DeWolf W.C. ,Morgentaler A. Heat stress causes testicular germ cell apoptosis in adult mice. J.Androl. 1997; 18: 159-165

Gokce A, Demirtas A, Ozturk A, Sahin N, Ekmekcioglu O. Association of left varicocoele with height, body mass index and sperm counts in infertile men. Andrology. 2013;1:116–9.

Peterson A.C. Lance R.S. Ruiz H.E. Outcomes of varicocele ligation done for pain. J Urol. 1998; 159: 1565-1567

Stahl P, Schlegel PN. Standardization and documentation of varicocele evaluation. Curr Opin Urol. 2011;21:500–5.

. Trum JW, Gubler FM, Laan R, van der Veen F. The value of palpation, varicoscreen contact thermography and colour Doppler ultrasound in the diagnosis of varicocele. Hum Reprod. 1996;11:1232–5.

Yaman O. ,Ozdiler E. , Anafarta K. , Göğüş O. Effect of microsurgical subinguinal, varicocele ligation to treat pain. Urology. 2000

Cayan S. Shavakhabov S. Kadioğlu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2009;

Wang J. Xia S.J. Liu Z.H. Tao L. Ge J.F. Xu C.M. Qiu J.X. Inguinal and subinguinal micro-varicocelectomy, the optimal surgical management of varicocele: a meta-analysis.

Rizkala E. ,Fishman A. , Gitlin J. , Zelkovic P. , Franco I. Long term outcomes of lymphatic sparing laparoscopic varicocelectomy.J Pediatr Urol. 2013;

Halpern J. Mittal S. Pereira K. Bhatia S. Ramasamy R.Percutaneous embolization of varicocele: technique, indications, relative contraindications, and complications. Asian J Androl. 2016; 18: 234-238

Nabi G. Asterlings S. Greene D.R. Marsh R.L. Percutaneous embolization of varicoceles: outcomes and correlation of semen improvement with pregnancy. Urology. 2004; 63: 359-363

Abdel-Meguid T.A. Al-Sayyad A. Tayib A. Farsi H.M. A Does varicocele repair improve male infertility? An evidence-based perspective from a randomized, controlled trial. Eur Urol. 2011

Nieschlag E. Hertle L. Fischedick A. Abshagen K. Behre H.M. Update on treatment of varicocele: counselling as effective as occlusion of the vena spermatica. Hum Reprod. 1998; 13: 2147-2150

13. Schauer I, Madersbacher S, Jost R, Hubner WA, Imhof M. The impact of varicocelectomy on sperm parameters: a meta-analysis. JUrol. 2012;187:1540–7.

Abdel-Meguid T.A. Al-Sayyad A. Tayib A. Farsi H.M. A Does varicocele repair improve male infertility? An evidence-based perspective from a randomized, controlled trial. Eur Urol. 2011; 59: 455-461

Yaman O, Ozdiler E, Anafarta K et al (2000) Effect of microsurgical subinguinal varicocele ligation to treat pain. Urology 55:107–108

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Published

2023-01-03

How to Cite

1.
SZYMAŃSKA, Ewa, OSTASZEWSKA, Sandra, ŚWIĄDER, Kinga, AUGUSTYNOWICZ, Kinga and CHRZANOWSKI, Jakub. Varicocele – impact on fertility and results of various methods of surgical treatment. Journal of Education, Health and Sport. Online. 3 January 2023. Vol. 13, no. 2, pp. 217-221. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2023.13.02.031.
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Vol. 13 No. 2 (2023)

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Articles

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Copyright (c) 2023 Ewa Szymańska, Sandra Ostaszewska, Kinga Świąder, Kinga Augustynowicz, Jakub Chrzanowski

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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