Bilaterality of varicocele: The overlooked culprit in male infertility. Case series study

罪魁祸首 精索静脉曲张 不育 男性不育 系列(地层学) 医学 妇科 内科学 怀孕 生物 心肌梗塞 遗传学 古生物学
作者
Khaled Mohamed Almekaty,Ahmed M. El-Sharkawy,Mohamed Hasan Zahran,Maged Ragab,Ayman Rashed,Mahmoud Soliman,Khaled Abdelaziz Salem,Ahmed Ghaith
出处
期刊:Archivio italiano di urologia, andrologia [PAGEPress Publications]
被引量:2
标识
DOI:10.4081/aiua.2023.11580
摘要

Objectives: Varicocele is the most common correctable cause of male infertility that always has been a debatable subject as regards how it affects fertility and the best way to treat it. Proper assessment of the disease bilaterality is crucial not to miss one side and not to jeopardize treatment outcome. This study aimed to objectively assess varicocele bilaterality in infertile men aiming to improve treatment outcome in this cohort of patients. Methods: This prospective study was conducted between January 2019 and January 2022 including infertile males with varicoceles. Assessment of missed concomitant contralateral varicocele done pre-operatively by Color Doppler Ultrasound and intraoperatively by intraoperative Doppler device and measurement of maximal vein diameter of contralateral side. Results: A total of 329 cases completed the study. A hundred cases (30.4%) were initially referred as unilateral varicoceles and 229 (69.6%) as bilateral varicoceles. After reassessment of the study population, bilaterality of varicocele was found to be as high as 98.5% (324/329). Repeat CDUS strongly correlated with the intraoperative measured varicocele diameter (r = 0.9, p < 0.001). Moreover, sperm parameters showed significant improvement 3 and 6 months post varicocelectomy. Normal pregnancy after 1 year of surgery occurred in 118 cases (35.9%). Conclusions: Varicocele bilaterality in infertile men is underreported. Thorough assessment by expert radiologists and andrologists is of paramount importance not to miss significant pathology or hazard treatment outcome.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
may发布了新的文献求助10
1秒前
楼亦玉完成签到,获得积分10
2秒前
薛定谔的小猴子完成签到,获得积分10
3秒前
3秒前
5秒前
ybheart完成签到,获得积分10
6秒前
9秒前
10秒前
糊糊完成签到 ,获得积分10
12秒前
13秒前
SJXS发布了新的文献求助10
16秒前
jxp完成签到,获得积分10
17秒前
juphen2发布了新的文献求助10
17秒前
完美世界应助小黄油采纳,获得10
18秒前
19秒前
李李李发布了新的文献求助10
19秒前
北落师门完成签到,获得积分10
20秒前
行路人完成签到,获得积分10
23秒前
Jiale完成签到,获得积分10
25秒前
sxy完成签到,获得积分10
25秒前
25秒前
HJX关闭了HJX文献求助
26秒前
图雄争霸给图雄争霸的求助进行了留言
26秒前
安详的灰狼应助may采纳,获得10
27秒前
顾矜应助xyz采纳,获得10
27秒前
28秒前
30秒前
31秒前
xdx应助Jiale采纳,获得10
31秒前
31秒前
wang完成签到 ,获得积分10
31秒前
小黄油发布了新的文献求助10
32秒前
Lucas应助CongCong0303采纳,获得50
33秒前
zj发布了新的文献求助30
35秒前
35秒前
danxue完成签到,获得积分10
39秒前
德玛西亚完成签到,获得积分10
42秒前
6号铺子完成签到 ,获得积分10
43秒前
华仔应助xyz采纳,获得10
45秒前
fanfan完成签到 ,获得积分10
50秒前
高分求助中
Licensing Deals in Pharmaceuticals 2019-2024 3000
Very-high-order BVD Schemes Using β-variable THINC Method 1020
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
錢鍾書楊絳親友書札 600
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
Geochemistry, 2nd Edition 地球化学经典教科书第二版,不要epub版本 431
Mission to Mao: Us Intelligence and the Chinese Communists in World War II 400
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3293600
求助须知:如何正确求助?哪些是违规求助? 2929481
关于积分的说明 8442356
捐赠科研通 2601648
什么是DOI,文献DOI怎么找? 1420049
科研通“疑难数据库(出版商)”最低求助积分说明 660486
邀请新用户注册赠送积分活动 643102