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https://www.readbyqxmd.com/read/28421850/semen-parameters-and-pregnancy-rates-after-microsurgical-varicocelectomy-in-primary-versus-secondary-infertile-men
#1
Essam-Elden Mohamed, Mahwer Gawish, Aly Mohamed
In a prospective study, the outcomes of microsurgical varicocelectomy in men with primary versus secondary infertility were compared. Ninety-two infertile men with a varicocele were included. They were classified into those with primary infertility (n = 57) and secondary infertility (n = 35). Clinical data, semen parameters and scrotal ultrasound finding were available for all patients and microsurgical varicocelectomy was performed on all of them. Spontaneous pregnancy rates and improvement in semen parameters in those men with primary versus secondary infertility were recorded 1 year after surgery...
April 19, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28413943/assessment-on-occurrences-of-depression-and-anxiety-and-associated-risk-factors-in-the-infertile-chinese-men
#2
Bin Yang, Jianchao Zhang, Yuxia Qi, Pu Wang, Ronghuan Jiang, Hongjun Li
The prevalence of depression and anxiety in the Chinese male population with infertility is still uncertain. The prevalence of depression, anxiety, and a combination of both psychological symptoms was 20.8%, 7.8%, and 15.4%, respectively in 771 infertile Chinese men in the current study by the Mental Health Inventory-5 and the State-Trait Anxiety Inventory-Short Form questionnaires. Differences in demographics (age, education, and income) had no noticeable impact on the development of psychological symptoms...
May 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28413379/effect-of-microsurgical-subinguinal-varicocele-repair-on-chronic-dull-scrotal-pain-in-men-with-grade-ii-iii-lesions
#3
Saad Elzanaty, Claus E Johansen
INTRODUCTION: We aimed to evaluate the effectiveness of microsurgical subinguinal varicocele repair in patients with grade II-III lesions and chronic dull scrotal pain. MATERIALS AND METHODS: A total of 29 patients with grade II-III varicocele and chronic dull scrotal pain that had a microsurgical subinguinal varicocele repair were included in the study. They were followed-up for 6-12 months including pain assessment and scrotal examination. RESULTS: Of the 29 patients, 28 (97%) reported complete resolution of pain with no palpable varicocele on scrotal examination...
January 2017: Current Urology
https://www.readbyqxmd.com/read/28412377/what-can-we-learn-and-what-can-t-we-learn-from-observational-studies-of-adolescent-varicocele-treatment
#4
EDITORIAL
Michael P Kurtz
No abstract text is available yet for this article.
April 12, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28378913/efficacy-of-varicocelectomy-in-the-treatment-of-hypogonadism-in-subfertile-males-with-clinical-varicocele-a-meta-analysis
#5
X Chen, D Yang, G Lin, J Bao, J Wang, W Tan
To reassess the efficacy of varicocelectomy in the treatment of hypogonadism in subfertile males, we carried out a meta-analysis of clinical trials and retrospective studies that compared the pre-operative and postoperative serum testosterone. We searched Embase and PubMed (1980 to May 2016) for studies. Eight studies and 712 patients were included. The combined analysis of seven studies discovered that the mean serum testosterone of patients post-operation improved by 34.3 ng/dl (95% CI: 22.57-46.04, p < ...
April 5, 2017: Andrologia
https://www.readbyqxmd.com/read/28376421/congenital-absence-of-vas-deferens-and-ectopic-kidney
#6
Alobaidi Salwan, Alhmooze Abdelrahman
INTRODUCTION: Congenital absence of the vas deferens (CUAVD) is a rare clinical entity, usually discovered accidently during surgical procedures of the urogenital zone, CUAVD has the prevalence of 0.5-1.0% in male population and it is associated with various forms of congenital genitourinary malformations like renal agenesis. we present a case of a 21 years old, male, managed in our private hospital for varicoceles and discovered to have CUAVD and ectopic kidney. PRESENTATION OF CASE: A 21 years old male, with no significant medical or surgical history presented to our out-patient clinic complaining of scrotal heaviness and pain...
March 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28333357/dietary-patterns-foods-and-nutrients-in-male-fertility-parameters-and-fecundability-a-systematic-review-of-observational-studies
#7
Albert Salas-Huetos, Mònica Bulló, Jordi Salas-Salvadó
BACKGROUND: Infertility is a global public health issue, affecting 15% of all couples of reproductive age. Male factors, including decreased semen quality, are responsible for ~25% of these cases. The dietary pattern, the components of the diet and nutrients have been studied as possible determinants of sperm function and/or fertility. OBJECTIVE AND RATIONALE: Previous systematic reviews have been made of the few heterogeneous low-quality randomized clinical trials (RCTs) conducted in small samples of participants and investigating the effect of specific nutrients and nutritional supplements on male infertility...
March 10, 2017: Human Reproduction Update
https://www.readbyqxmd.com/read/28332859/magnesium-sulfate-mediate-morphine-administration-reduction-in-varicocelectomy-surgery
#8
Sedigheh Nadri, Hormoz Mahmoudvand, Mahmoud Reza Moradkhani
AIMS: Varicocelectomy is the most common operation carried out by doctors for male infertility treatment. The aim of varicocele treatment is to hinder the refluxing venous drainage to the testis, retaining arterial inflow, and lymphatic drainage. A lot of pain is generated after this surgery, and the use of opium should be reduced to nearest minimum, as all drugs are toxins. Thus the aim of the present study is to facilitate morphine usage reduction after varicocelectomy surgery. MATERIAL AND METHODS: One-hundred (100) patients who were varicocelectomy candidate were randomized into two groups: experimental group contain 50 patients and control group contain 50 patients as well...
March 23, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28315171/the-dilemma-of-adolescent-varicoceles-do-they-really-have-to-be-repaired
#9
REVIEW
Bryan S Sack, Mattias Schäfer, Michael P Kurtz
The primary indication for varicocele repair in adults, that of failed paternity, must be substituted in the adolescent population with surrogate parameters of testicular size differential and semen analysis. Making recommendations based on these two parameters is incredibly difficult because studies often have contradictory findings, different patient populations, and lack of long-term follow up of the key endpoint, paternity. Therefore, it is not a surprise that recommendations for adolescent varicocele repair are general (with some exceptions) and necessarily so because of limitations in quality of evidence...
May 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28301253/efficacy-and-safety-of-varicocelectomies-a-meta-analysis
#10
Renbin Yuan, Hui Zhuo, Dehong Cao, Qiang Wei
This study reviewed the efficacy and safety of the three surgical approaches for varicocele (microsurgical, laparoscopic, and open varicocelectomy). A systematic review of the relevant randomized clinical trials was performed. Trials were identified from specialized trials register of the Cochrane UGDP Group, the Cochrane library, additional electronic searches (mainly MEDLINE, EMBSAE, SCI, CBM), and handsearching. Clinical trials comparing microsurgical, laparoscopic and open varicocelectomies were included...
April 2017: Systems Biology in Reproductive Medicine
https://www.readbyqxmd.com/read/28299766/increased-level-of-c-kit-in-semen-of-infertile-patients-with-varicocele
#11
Guorong Jin, Jianrong Liu, Qin Qin, Songdan Gao, Fang Zhang, Yuehong Ma, Caiyun Ding, Lina Dong, Haizhen Yin, Yimin Wang
PURPOSE: Varicocele is the most common risk factor for male infertility, however, not all males with varicocele experience infertility. In fact, most patients with varicocele have normal spermatogenesis. The molecular mechanism of varicocele-associated infertility is yet to be completely understood. The aim of this study is to assess the association of a number of fertility regulatory factors on varicocele associated infertility and to throw light on the mechanism of varicocele-associated infertility...
March 16, 2017: Urology Journal
https://www.readbyqxmd.com/read/28299523/predictors-for-spontaneous-pregnancy-after-microsurgical-subinguinal-varicocelectomy-a-prospective-cohort-study
#12
Jian-Wei Zhang, Quan-Quan Xu, You-Lin Kuang, Yan Wang, Feng Xu, Yu-Dong Tian
PURPOSE: The purpose of this study is to determine the possible preoperative predictors of spontaneous pregnancy (SPR) for infertile males with varicocele after microsurgical subinguinal varicocelectomy (MVL) performed in two medical centers in a prospective cohort study. METHODS: A total of 120 males with varicocele that underwent MVL between June 2013 and June 2014 in two medical centers were documented. Related data, including male and female partner age, male body mass index (BMI), female BMI, preoperative semen parameters, hormone levels, testicular volume, grade and side of varicocele, were collected and analyzed...
March 15, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28298963/potential-role-of-imaging-in-assessing-harmful-effects-on-spermatogenesis-in-adult-testes-with-varicocele
#13
REVIEW
Athina C Tsili, Olga N Xiropotamou, Anastasios Sylakos, Vasilios Maliakas, Nikolaos Sofikitis, Maria I Argyropoulou
Varicocele is characterized by an abnormal dilatation and retrograde blood flow in the spermatic veins. Varicocele is the leading correctable cause of male infertility. Although it is highly prevalent in infertile men, it is also observed in individuals with normal fertility. Determining which men are negatively affected by varicocele would enable clinicians to better select those men who will benefit from treatment. To assess the functional status of the testes in men with varicocele, color Doppler sonographic parameters were evaluated...
February 28, 2017: World Journal of Radiology
https://www.readbyqxmd.com/read/28295651/the-cremasteric-reflex-and-its-muscle-a-paragon-of-ongoing-scientific-discussion-a-systematic-review
#14
Gilbert M Schwarz, Lena Hirtler
The technique of triggering the cremasteric reflex and its respective signaling pathway is not described uniformly throughout the literature. As this reflex is a useful sign in diagnosing testicular torsion, orchitis, varicocele, and undescended testis, it seems desirable to identify and define the correct mechanism. Our aim was to investigate how the cremasteric reflex and its signaling pathway are described in the current literature and how the variability of the innervation of the inguinal region could affect the frequency of this reflex...
March 13, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28295474/significant-predictive-factors-for-subfertility-in-patients-with-subclinical-varicocele
#15
S S-S Chen
We made a retrospective study to determine useful parameters for predicting subfertility in patients with subclinical varicocele (SV). One hundred and fifty men with SV and 17 age-matched men without SV were divided into three groups: Group 1, subfertile patients (n = 15); Group 2, fertile patients (n = 135); and Group 3, control patients (n = 17). Their age, body mass index (BMI), semen analysis, scrotal temperature, testicular volume, resistive index (RI), pulsatility index (PI) and peak retrograde flow (PRF) were compared...
March 10, 2017: Andrologia
https://www.readbyqxmd.com/read/28275523/varicocelectomy-modified-loupe-assisted-versus-microscopic-technique-a-prospective-comparative-study
#16
Mohammad H Alkandari, Adel Al-Hunayan
ABSTRACT OBJECTIVE: To compare our novel loupe-assisted varicocelectomy (LV) technique to the 'gold standard' demanding microscopic varicocelectomy (MV) technique for the management of varicoceles. PATIENT AND METHODS: Our LV technique, featuring testicular delivery and proximal spermatic cord occlusion using a tourniquet, has not been used before nor to our knowledge has it been reported in the literature. In the LV group, inguinal incision was done prior to testicular delivery and spermatic cord occlusion...
March 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/28265317/inguinoscrotal-pathology
#17
REVIEW
Luis Guerra, Michael Leonard
Infants, children, and adolescents with inguinoscrotal pathology comprise a significant proportion of emergency department and outpatient visits. Visits to the emergency department primarily comprise individuals presenting with scrotal pain due to testicular torsion or torsion of the testicular appendages. At such time, immediate urological consultation is sought. Outpatient visits comprise those individuals with undescended testes, hydroceles, and varicoceles. Rare, but important problems, such as pediatric testicular tumours, may also present in the office setting...
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28265316/the-adolescent-varicocele-attempting-to-de-muddify-the-fuzzification
#18
Andrew MacNeily
No abstract text is available yet for this article.
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28265315/varicoceles-in-the-pediatric-population-diagnosis-treatment-and-outcomes
#19
REVIEW
Thomas de Los Reyes, Jennifer Locke, Kourosh Afshar
Varicocele is commonly encountered in adolescents. There are still many controversies regarding pathophysiology, health effects, clinical significance, and optimum treatment of this condition. This article reviews the current evidence pertaining to children and adolescents with varicocele. This group present a unique and somehow challenging situation, since they are still going through pubertal changes that may confound the effects of the disease and its treatment on the developing testes.
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28258018/left-sided-varicocele-as-a-rare-presentation-of-may-thurner-syndrome
#20
J R Stern, V I Patel, D E Cafasso, N B Gentile, A J Meltzer
INTRODUCTION: May-Thurner syndrome (MTS), the clinical sequelae of left iliac vein compression between the right iliac artery and the spine, is an accepted cause of lower extremity edema and venous thromboembolism. It is more prevalent in younger women, and typically presents with left lower extremity symptoms. Atypical presentations such as right-sided symptoms, chronic pelvic pain, and even fatal venous rupture have been reported. Here we describe iliac vein compression presenting as a chronic left-sided testicular varicocele...
February 28, 2017: Annals of Vascular Surgery
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