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Varicocele

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https://www.readbyqxmd.com/read/28803635/varicoceles-in-the-pediatric-and-adolescent-population-threat-to-future-fertility
#1
REVIEW
Deborah L Jacobson, Emilie K Johnson
Determining the effect of varicoceles on future fertility is challenging owing to multiple issues in children/adolescents, including: limitations in obtaining and interpreting semen analyses; potential for unequal differential testicular growth during puberty regardless of varicocele presence; and the potential for a lengthy interval between surgical intervention for varicocele in adolescence and attempts at paternity. This review presents a summary and evaluation of the available evidence relating to future fertility among children and adolescents with varicoceles...
August 10, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28771041/obstructive-azoospermia-caused-by-low-ligation-of-varicocele-a-case-report
#2
Jun Hagiuda, Hiromichi Ishikawa, Masayuki Hagiwara, Hidaka Kono, Ken Nakagawa, Mototsugu Oya
Varicocele is commonly observed in male partners of infertile couples. The surgical ligation of varicoceles under microscopy can be safely performed by a skilled andrologist with most patients subsequently experiencing an improvement in semen quality. This is the first case in which obstructive azoospermia occurred after high inguinal varicocelectomy. The vas deferens was disrupted near the internal inguinal ring by fibrous tissue. A vasovasostomy was performed and semen parameters subsequently recovered.
August 3, 2017: Systems Biology in Reproductive Medicine
https://www.readbyqxmd.com/read/28767606/varicoceles-affect-semen-quality-of-infertile-men-in-southern-china-a-cross-sectional-study-of-5447-cases
#3
Yunshan Zhang, Tianzhong Ma, Zexuan Su, Mushi Ye, Huanshu Tian, Jianchang Li, Jianjun Liu
The association of varicoceles with infertility is well established, but the exact effect of varicoceles on semen quality among patients with infertility is still poorly known. The study aimed to examine the prevalence of varicoceles among Chinese men with infertility and to examine the factors associated with semen quality.This was a cross-sectional study of 5447 male patients treated for infertility at the Affiliated Hospital of Guangdong Medical University from October 2012 to December 2015. The patients were divided on the basis of the presence of varicoceles...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28766734/pressure-flow-pattern-of-varicocele-veins-and-its-correlation-with-testicular-blood-flow-and-semen-parameters
#4
K Ur Rehman, A B Qureshi, A Numan, H Zaneb, M S Yousaf, I Rabbani, H Rehman
The pressure pattern in varicocele veins of infertile patients and its correlation with semen quality and testicular blood flow was determined. Consecutive patients at andro-urology clinic of a teaching hospital undergoing microsurgical varicocelectomy were included. Their semen quality and testicular blood flow were determined. Peak systolic velocity (PSV) and resistive index (RI) of subcapsular and intraparenchymal branches of testicular artery were noted by colour Doppler ultrasonography. During surgery before ligation of varicocele veins, intravenous pressures of internal spermatic (ISV) and external spermatic (ESV) veins were determined at baseline and after Valsalva manoeuvre...
August 2, 2017: Andrologia
https://www.readbyqxmd.com/read/28740417/efficacy-and-safety-of-0-75-ropivacaine-instillation-into-subinguinal-wound-in-patients-after-bilateral-microsurgical-varicocelectomy-a-bi-center-randomized-double-blind-placebo-controlled-trial
#5
Wan Shou Cui, Yu Seob Shin, Jae Hyung You, A Ram Doo, Kiran Kumar Soni, Jong Kwan Park
OBJECTIVE: To evaluate the efficacy and safety of 0.75% ropivacaine instillation into inguinal wound in patients who have undergone bilateral microsurgical varicocelectomy. PATIENTS AND METHODS: Eighty-five men who were screened for bilateral varicoceles from March 2015 to July 2016 were randomized for the treatment. All patients underwent inguinal varicocelectomy by general anesthesia. After ligation of the internal spermatic veins from the spermatic cord, additional delivery of testis through inguinal incision site was done to ligate external spermatic veins and gubernacular veins...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28725616/chronic-orchialgia-epidemiology-diagnosis-and-evaluation
#6
REVIEW
John T Sigalos, Alexander W Pastuszak
Chronic orchialgia is a vexing condition defined as chronic or intermittent scrotal pain lasting at least three months that significantly interferes with daily activities. There are currently no guidelines regarding the diagnosis and management of this condition despite it being the cause of 2.5-4.8% of urologic clinic visits. Men often present with chronic orchialgia in their mid to late 30s, although the condition can present at any age. A broad differential diagnosis of chronic orchialgia includes epididymitis, testicular torsion, tumors, obstruction, varicocele, epididymal cysts, hydrocele, iatrogenic injury following vasectomy or hernia repair, and referred pain from a variety of sources including mid-ureteral stone, indirect inguinal hernia, aortic or common iliac artery aneurysms, lower back disorders, interstitial cystitis, and nerve entrapment due to perineural fibrosis; approximately 25-50% of chronic orchialgia is idiopathic in nature...
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28725614/a-review-of-varicocele-repair-for-pain
#7
REVIEW
Ryan C Owen, Benjamin J McCormick, Bradley D Figler, Robert M Coward
A dilation of the pampiniform venous plexus in the scrotum above the testicle, called a varicocele, affects approximately 15% of the general male population. While the majority is asymptomatic, pain results in up to 10% of cases of varicoceles. The pain associated with varicoceles is typically mild and is described as heavy, achy, or dull-and is usually isolated to the testicle or spermatic cord. Guidelines clearly recommend varicocele repair in males with varicoceles, infertility, and an abnormal semen analysis...
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28722192/roles-of-fas-fasl-mediated-apoptosis-and-inhibin-b-in-the-testicular-dysfunction-of-rats-with-left-side-varicocele
#8
J Zhang, P P Jin, M Gong, J H Guo, K Fang, Q T Yi, R J Zhu
We investigated the role of the Fas/FasL signalling pathway and inhibin B expression in rats with an experimentally induced left-side varicocele. Forty-five Sprague Dawley (SD) male rats were randomly divided into three groups in average: control group, sham group and experimental group. The expression of inhibin B in the rat left testis was analysed at the mRNA and protein levels by reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting respectively. The expressions of Fas, FasL and caspase-3 in the left testis were measured by RT-PCR and immunofluorescence...
July 18, 2017: Andrologia
https://www.readbyqxmd.com/read/28721298/hydrocortisone-relieves-the-immediate-post-operative-scrotal-edema-after-inguinal-varicocelectomy-a-prospective-clinical-trial
#9
Samir Elhanbly, Tamer Youssef, Ayman Elkholy, Mamdouh Abdel-Gawad, Taymour Mostafa
This study aimed to assess the effect of a single IM injection of hydrocortisone succinate in relieving the immediate post-varicocelectomy scrotal edema. In all, 117 patients with grades II and III varicocele who developed post-varicocelectomy scrotal edema were randomly classified into group A (n = 59) that received a single IM hydrocortisone sodium succinate injection plus ordinary post-operative treatment and Group B (n = 58), which received the post-operative treatment alone. All patients were followed up to assess; changes in scrotal edema, the day of return to work and emergence of complications...
July 2017: Journal of Advanced Research
https://www.readbyqxmd.com/read/28718159/the-role-of-varicocele-in-male-factor-subfertility
#10
REVIEW
Dillon Sedaghatpour, Boback M Berookhim
PURPOSE OF REVIEW: Varicocele may play a significant role in a subset of patients presenting with male factor infertility. Despite its relatively high prevalence amongst subfertile men, there has been controversy over the effectiveness of surgical treatments, patient selection, and when to administer treatment, particularly in the era of assisted reproductive technology. RECENT FINDINGS: In line with earlier finding, recent evidence strongly suggests that varicocelectomy improves pregnancy rates and semen parameters...
September 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28717535/evaluation-of-testicular-catch-up-growth-in-adolescent-microsurgical-varicocelectomy
#11
Fevzi Bedir, Ercüment Keskin, Mehmet Karabakan, İbrahim Karabulut, Fatih Kürşat Yılmazel, Ertuğrul Gazi Özbey, Yılmaz Aksoy, İsa Özbey
OBJECTIVE: The incidence of varicocele is approximately 15% in adolecent men. Early treatment with varicocele is aimed to resolve testicular hypotrophy and ensure catch-up growth. The aim of this study was to evaluate ipsilateral catch-up growth rates relative to contralateral testicular growth in adolescents with varicocele undergoing microsurgical subinguinal varicocelectomy. MATERIAL AND METHODS: Fifty adolescents with unilateral grade 2-3 varicoceles were included in the study...
June 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/28712483/corrigendum-to-improvements-in-scrotal-thermoregulation-in-patients-with-varicoceles-treated-by-using-traditional-korean-medicine-two-case-reports-j%C3%A2-acupunct-meridian-stud-9-3-2016-156-160
#12
Junyoung Jo, Hyunho Kim, Ui Min Jerng
No abstract text is available yet for this article.
June 2017: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/28697346/-necrozoospermia-from-etiologic-diagnosis-to-therapeutic-management
#13
A Dumont, A-L Barbotin, V Lefebvre-Khalil, V Mitchell, J-M Rigot, F Boitrelle, G Robin
This review describes necrospermia, its diagnosis, causes and management. Sperm vitality is commonly assessed in the laboratory of reproductive biology, with the eosin test or with the hypo-osmotic swelling test. Necrospermia is defined by a percentage of living spermatozoa inferior to 58%, and can be related to male infertility. Several pathological mechanisms may be involved and can be classified either in testicular causes (hyperthyroidism, local hyperthermia, varicocele), or post-testicular causes (epididymal necrospermia, dysregulation of seminal plasma, adult polycystic kidney disease, vasectomy reversal, anti-sperm antibodies) or both (infection, toxic, age, spinal cord injury)...
April 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/28678016/back-pain-after-varicocele-embolization
#14
Roberto Molina Escudero, María Alejandra Egui Rojo, Javier de la Torre, Álvaro Páez Borda
No abstract text is available yet for this article.
July 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28678015/back-pain-after-varicocele-embolization
#15
Francisco Xavier Elizalde Benito, Ignacio Quintana Martínez, María Urra Palos, Ángel Gabriel Elizalde Benito
No abstract text is available yet for this article.
July 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28676067/chronic-scrotal-pain-in-young-adults
#16
Misgav Rottenstreich, Yuval Glick, Ofer Natan Gofrit
OBJECTIVE: Chronic scrotal pain (CSP) is a common and well recognized symptom of young males presenting to primary care units. Historically, CSP is defined as a testicular pain lasting for over 3 months. However, its etiology and outcome are poorly understood and its management is largely empirical. This study was conducted to examine the frequency, spectrum of pathology and outcome of CSP among young adults. RESULTS: The medical records of 382,036 young males were reviewed for anamnestic information, physical findings, primary care physician decisions, and final outcome...
July 4, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28675168/varicocele-and-male-infertility
#17
REVIEW
Christian Fuglesang S Jensen, Peter Østergren, James M Dupree, Dana A Ohl, Jens Sønksen, Mikkel Fode
The link between varicoceles and male infertility has been a matter of debate for more than half a century. Varicocele is considered the most common correctable cause of male infertility, but some men with varicoceles are able to father children, even without intervention. In addition, improvements in semen quality after varicocelectomy do not always result in spontaneous pregnancy. Studies regarding possible pathophysiological mechanisms behind varicocele-induced infertility have tried to address these controversies...
July 4, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28671268/microsurgical-varicocelectomy-for-clinical-varicocele-a-review-for-potential-new-indications
#18
REVIEW
X Wan, H Wang, Z Ji
Microsurgical varicocelectomy is considered the gold-standard technique treating varicocele in both adults and adolescents, due to relatively more favourable outcomes and lower post-operative recurrence and complication rates. Despite of mounting literature on this topic, several aspects are still not well defined. We summarised the most recent literature and presented findings that might extend its indications. Microsurgical varicocelectomy and intracytoplasmic sperm injection are both effective to father a child for infertile men with clinical varicocele even for those with worst condition of spermatozoa, nonobstructive azoospermia, and prior varicocele repair has substantial benefits for couples with a clinical varicocele...
July 3, 2017: Andrologia
https://www.readbyqxmd.com/read/28667393/-interventional-treatment-of-benign-prostatic-hyperplasia-embolization-of-the-testicular-vein
#19
REVIEW
M Rauch, H Strunk
CLINICAL/METHODICAL ISSUE: Embolization of the testicular veins (Gat-Goren technique) is an interventional procedure for the treatment of benign prostatic hyperplasia (BPH). STANDARD RADIOLOGICAL METHODS: In addition to standard urological procedures, such as transurethral resection of the prostate (TUR-P), arterial embolization of the prostate is considered as the interventional radiological method of choice. METHODICAL INNOVATIONS: Embolization of the testicular veins is technically identical to the embolization of varicoceles in infertile men and represents a less invasive treatment...
August 2017: Der Radiologe
https://www.readbyqxmd.com/read/28658802/the-impact-of-oxidative-stress-on-testicular-function-and-the-role-of-antioxidants-in-improving-it-a-review
#20
REVIEW
Nematollah Asadi, Mahmoud Bahmani, Arash Kheradmand, Mahmoud Rafieian-Kopaei
Oxidative stress is an important factor for development of male infertility because of very high rate of cell division and mitochondrial oxygen consumption in testicular tissue as well as comparably higher levels of unsaturated fatty acids in this tissue than in other tissues. Moreover, the level of oxygen pressure is low due to the weakness of testicular artery; therefore, there is a severe cell competition for oxygen. Therefore, the testicular tissue and male reproductive system are particularly susceptible to oxidative stress...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
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