PURPOSE To evaluate the effectiveness of magnification-assisted subinguinal varicocelectomy (MASV) with testicular delivery in children with severe varicocele. MATERIALS AND METHODS We retrospectively analyzed the clinical data of 23 children 15 years or younger (mean age, 12.3±1.8 years) who underwent MASV with testicular delivery and ligation of all collateral veins except arteries and defe...

OBJECTIVE To review the evolution in indications for treatment and treatment modalities for adolescent varicocele at our centre, and evaluate the impact of varicocelectomy on final outcome. PATIENTS AND METHODS Between 1995 and 2006, we treated 242 left varicoceles. Preoperative assessment included clinical evaluation, measurement of testicular volumes, and colour-Doppler ultrasound (CDUS). A...

background since nitric oxide (no) has an oxidant activity, lower levels following a varicocelectomy may result in better functioning sperm, improved semen quality and consequently higher fertility rates. however, this procedure should be examined in more detail. objectives accordingly, this study was performed to compare the before and after varicocelectomy levels of no in the seminal fluid of...

To establish the extent of varicocele as the cause of infertility in men and compare the various techniques of treatment. We searched PubMed and the Cochrane Library database using varicocele, male infertility, varicocelectomy as keywords. Varicocele seems to be a growing problem considered to be one of the most common causes of male infertility in recent times. Nevertheless, its role remains u...

Surgical treatment of clinically significant varicocele in infertile men with pathospermia is a common practice. However, the question role this disease pathogenesis such conditions as hypogonadism and orchalgia, well varicocelectomy eliminating pain symptoms scrotum increasing testosterone levels, has remained ambiguous for long time. The expediency surgical patients azoospermia also remains s...

In the past, the indications for varicocelectomy are primarily for infertility with abnormal semen parameters, testicular hypotrophy/atrophy in adolescents, and/or pain. The surgical treatment of varicocele for hypogonadism is controversial and debated. Recently, multiple reports in the literature have suggested that varicocele is associated with hypogonadism and varicocele repair can increase ...

The gold standard of varicocele management is microsurgical subinguinal varicocelectomy. This procedure leads to better preservation the testicular artery and lymphatic vessels. However, sometimes several vessels were in complex position causing dissection be more difficult. By using IVDU, arteries veins could identified acquire sperm outcomes. It's uncertain if Doppler Ultrasonography has a ro...

Background: Varicocele occurs in approximately 15 to 20% of the general male population and it is the most common cause of poor semen production and decreased semen quality. It has been demonstrated that patients with varicocele have a significantly higher DNA damage and spermatozoa with nuclear anomalies than healthy men. Previously it was documented that antioxidant therapy or varicocelectomy...