PDF(Pubmed)
Abstract：
Varicocele treatment in infertility still remains controversial. It is clear, in fact, that in many patients, varicocele has no impact on fertility. Recent scientific evidence demonstrated that varicocele treatment is beneficial in improving semen parameters and pregnancy rate when an appropriate selection of patients is made. The purpose of treating varicocele in adults is mainly to improve current fertility status. On the other hand, the goal of treatment in adolescents is to prevent testicular injury and maintain testicular function for future fertility. Hence, the key to the success of varicocele treatment seems to be a correct indication. The aim of this study is to review and summarize current evidence in managing varicocele treatment focusing on the controversies regarding surgical indications in adolescent and adult patients, and in other specific situations such as azoospermia, bilateral or subclinical varicocele, and prior to ART.
摘要：
精索静脉曲张在不孕症中的治疗仍然存在争议。很清楚,事实上,在许多患者中，精索静脉曲张对生育能力没有影响。最近的科学证据表明，当适当选择患者时，精索静脉曲张治疗有利于改善精液参数和妊娠率。治疗成人精索静脉曲张的目的主要是改善目前的生育状况。另一方面,青少年治疗的目标是预防睾丸损伤和维持睾丸功能，以便将来生育。因此，精索静脉曲张治疗成功的关键似乎是正确的适应症。这项研究的目的是回顾和总结目前在管理精索静脉曲张治疗方面的证据，重点是关于青少年和成人患者手术适应症的争议。在其他特定情况下，如无精子症，双侧或亚临床精索静脉曲张，在艺术之前。
