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When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? 被引量:5

When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction?
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摘要 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 testosterone levels. Men with hypogonadal symptoms should have at least two serum testosterone levels. Microsurgical varicocelectomy may be beneficial for men with clinically palpable varicoceles with documented hypogonadism. In this review, we summarize the most recent literature linking varicocele to hypogonadism and sexual dysfunction and the impact of repair on serum testosterone levels. We performed a search of the published English literature. The key words used were "varicocele and hypogonadism" and "varicocele surgery and testosterone." We included published studies after 1998. We, also, evaluated the effect of surgery on the changes in the serum testosterone level regardless of the indication for the varicocele repair. 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 testosterone levels. Men with hypogonadal symptoms should have at least two serum testosterone levels. Microsurgical varicocelectomy may be beneficial for men with clinically palpable varicoceles with documented hypogonadism. In this review, we summarize the most recent literature linking varicocele to hypogonadism and sexual dysfunction and the impact of repair on serum testosterone levels. We performed a search of the published English literature. The key words used were "varicocele and hypogonadism" and "varicocele surgery and testosterone." We included published studies after 1998. We, also, evaluated the effect of surgery on the changes in the serum testosterone level regardless of the indication for the varicocele repair.
出处 《Asian Journal of Andrology》 SCIE CAS CSCD 2016年第2期213-216,J0004,共5页 亚洲男性学杂志(英文版)
关键词 erectile dysfunction HYPOGONADISM VARICOCELE VARICOCELECTOMY erectile dysfunction hypogonadism varicocele varicocelectomy
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  • 1Agarwal A, Deepinder F, Cocuzza M, Agarwal R, Short RA, et al. Efficacy of varicocelectomy in improving semen parameters: new meta-analytical approach. Urology 2007; 70: 532-8.
  • 2WHO Task Force on the Diagnosis and Treatment of Infertility. The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. World Health Organization. Fertil Steri11992; 57: 1289-93.
  • 3Schlegel PN, Goldstein M. Alternate indications for varicocele repair: non-obstructive azoospermia, pain, androgen deficiency and progressive testicular dysfunction. Fertil Steri12011: 96:1288-93.
  • 4Wein A J, Kavoussi LR, Campbel Campbell-Walsh Urology. 10th ed. Ph 21: 636-7.
  • 5MF, Walsh PC, Goldstein M, et al adelphia, PA: Elsevier Saunders; 2012.
  • 6Li F, Yue H, Yamaguchi K, Okada K, Matsushita K, et al. Effect of surgical repair on testosterone production in infertile men witb varicocele: a meta-anaLysis. Int J Urol2012; 19: 149-54.
  • 7Wang C, Niescblag E, Swerdloff RS, Behre H, Hellstrom W J, et al. ISA, ISSAM, EAU, EAA and ASA recommendations: investigation, treatment and monitoring of late-onset hypogonadism in males. Aging Male 2009; 12: 5-12.
  • 8Tulloch WS. Varicocele in subfertility; results of treatment. BMJ 1955; 2: 356-8.
  • 9Lipshultz LI, Corriere JN Jr. Progressive testicular atrophy in the varicooele patient. J Uro11977; 117: 175-6.
  • 10Johnsen SG, Agger P. Quantitative evaluation of testicular biopsies before and after operation for varicocele. Fertil Steri11978; 29: 58-63.

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