Historically, idiopathic varicocele is the most commonly diagnosed pre-pubertal andrological condition. The clinical presentation of varicocele may vary from dull and dragging unilateral or bilateral testicular pain to visible varicose veins lying over the hemiscrotum. Over the last decade, significant strides were made in managing symptomatic varicoceles, particularly minimal invasive procedur...

Between September 1999 and December 2002 we evaluated 307 men aged 17–51 years who had varicocele with semen anomalies. In all of the men, the clinical diagnosis was confirmed by scrotal colour Doppler ultrasonography (US). Dubin and Amelar’s classification [4] was used for the clinical examination. The vascular diagnosis was made by the method of Annoni et al. [5], considering the presence of ...

OBJECTIVE To study hormonal and histological parameters of paediatric-adolescent varicocele in order to know certain aspects of its natural history, in an attempt to find prognostic markers of testicular damage. DESIGN AND METHODS In a prospective cross-sectional study, we evaluated 93 children and adolescents with left unilateral varicocele and 29 healthy males as control group. All of them ...

Samenvatting In dit overzichtsartikel wordt de relatie besproken tussen een varicocele, mannelijke subfertiliteit, kans op kind met en zonder behandeling van varicocele na natuurlijke conceptie of geassisteerde voortplanting. Er kort ingegaan verschillende theorieën over pathofysiologie varicocele. Daarnaast worden klinische diagnose overwegingen rond selectie indicatiestelling bij subfertiele ...

Among infertile men, a diagnosis of unilateral varicocele is made in 90% of varicocele cases and bilateral in the remaining varicocele cases. However, there are reports of under-diagnosis of bilateral varicocele among infertile men and that its prevalence is greater than 10%. In this prospective study, we aimed to examine the differentially expressed proteins (DEP) extracted from spermatozoa ce...

Background: To investigate difference in intratesticular arterial pulsatility index (PI) and resistance index (RI) between varicocele and healthy testes using power Doppler ultrasonography. Materials and Methods: Patients undergoing scrotal ultrasonography were recruited. PI and RI of the intratesticular artery were measured using a 12-MHz power Doppler ultrasound, and varicocele grades were ob...

INTRODUCTION Varicocele is a relatively complex pathology of the scrotum veins', known to be one of the easiest to treat. Modern treatment involves both surgical (open, laparoscopic and microsurgery) and interventional approach (either with coils and/or sclerosant injection). Our aim is to demonstrate the feasibility and the reliability of endovenous laser ablation (EVLA) of the spermatic vein ...

Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varic...

OBJECTIVES Varicocele in adolescent men is one of the most challenging topics in pediatric urology. What should be considered as a good indication for treatment and at what age? Does treatment improve fertility? Can we wait? What is the best surgical and minimal invasive treatment? To answer these questions we provide a guideline to use in daily practice. METHODS We performed a search of th...

BACKGROUND Varicocele is associated with high levels of DNA damage in spermatozoa due to oxidative stress and elevated levels of sperm DNA fragmentation, which has been currently proposed to be an essential additional diagnostic test to be recommended for patients with clinical varicocele. The aim of this study was to evaluate the parameters of semen and the DNA fragmentation index (DFI) in pat...