Background: To date, impact of varicocelectomy on semen parameters is controversial mainly because clear preoperative selection criteria of patients to be submitted to varicocele surgery are still lacking. A comprehensive review on varicocele pathophysiology, and indications to varicocelectomy according to controlled studies and methanalises from literature and the Guidelines of the Scientific ...

Aim: To determine the efficacy of subinguinal microvaricocelectomy versus retroperitoneal varicocelectomy in symptomatic varicocele. Methods: 44 subjects were enrolled for this study, two groups consisting of 22 each by simple random sampling, done by balloting method. Postoperative Pain was observed using Visual Analog scaling and Infection was observed using Southampton scoring system. Result...

with a long-term follow-up. Moreover, there is still a debate as to the effects of varicocele repair on testosterone levels in eugonadal men. It has been our experience that microsurgical varicocelectomy may improve the semen quality and androgen production in hypogonadal men with clinical varicocele. In general, these observed effects are achieved in a 3-month follow-up period. Such beneficial...

BACKGROUND Microsurgical sub-inguinal varicocelectomy has been associated with extremely high success rates and minimal postoperative complications. The aim of this study was to report the techniques and outcomes of varicocelectomy using a modified microsurgical method, specifically a loupe-assisted high inguinal varicocelectomy instead of the usual microscope and sub-inguinal approach. METHO...

OBJECTIVE To investigate the effect of vascular endothelial growth factor (VEGF) injection into the testes on spermatogenesis and apoptosis in a varicocele-induced adolescent rat model. SETTING University hospital urology research laboratory. ANIMAL(S) Six-week-old male Wistar rats (n = 32). INTERVENTION The rats were divided into six groups: control group (n = 6), sham operated group (n ...

Background: To compare the c l in ica l e f fec t o f varicocelectomy treatment between patients who were diagnosed as secondary varicocele caused by nutcracker syndrome (NCS) and primary varicocele patients. Methods: The secondary varicocele patients combined with NCS admitted in our hospital were systematically reviewed. All these patients had no obvious related symptoms such as gross hematur...

introduction: varicocele is considered as a common cause of male infertility. the aim of this study was to evaluate the effects of varicocelectomy on sperm parameters, sperm membrane integrity and sperm nuclear maturity. materials and methods: in this study along with routine semen analysis, hypo-osmotic swelling test (host), and aniline blue staining for assessment of as 45 and 90 days after i...

Background: Varicocele is commonly existed among infertile men and causes testis damage. Disorder of spermatogenesis was observed in varicocele individuals and leads to low quality sperm parameters and chromatin damage. Chromatin damage plays a critical role in pregnancy outcomes through in vitro or in vivo fertilization. Varicocelectomy considered as standard treatment of clinical varicocele. ...

The presence of a varicocele has been associated with decrease in testicular volume both in adult and pediatric patients. However, a study on the effect of varicocelectomy on testicular volume in the adult varicocele patient has never been reported. We determined the testicular volume before and after varicocelectomy in 52 patients with varicocele. A significant increase in testicular volume wi...

Varicocele is one of the most common causes of low semen quality, which is reflected in high percentages of sperm cells with fragmented DNA. While varicocelectomy is usually performed to ameliorate a patient's fertility, its impact on sperm DNA integrity in the case of subclinical varicocele is poorly documented. In this study, multiple DNA fragmentation analyses (TUNEL, SCD, and SCSA) were per...