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Varicocele and Its Treatment

  • F. H. Comhaire

Abstract

Varicocele is present in 8–18% of all adolescent men; this condition therefore can hardly be considered a disease (Handelsman et al., 1984). However, presumably one out of five men with varicocele will suffer from a complication of this condition, such as impaired fertility, decreased androgen secretion and sexual inadequacy (Comhaire and Vermeulen, 1975), or local discomfort. Besides, varicocele seems to promote the occurrence of male accessory gland infection and autoimmunity against spermatozoa (Comhaire et al., 1987).

Keywords

Male Infertility Transcatheter Embolization Spermatic Vein Internal Spermatic Vein Cumulative Pregnancy Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Bernardi, R. (1942). New incision for therapy of varicocele: semeilogic and surgical concepts. Sem. Med., 2, 165Google Scholar
  2. Bigot, J.M., Barrett, F. and Helenon, C. (1982). Phlebography of the right spermatic vein in varicocele. In Jecht, E.W. and Zeitler, E. (eds.) Varicocele and Male Infertility. Recent Advances in Diagnosis and Therapy, pp. 59–67. (Berlin: Springer Verlag)Google Scholar
  3. Comhaire, F.H. (1986). Varicocele and its role in male infertility. In Oxford Reviews of Reproductive Biology, Vol 8, pp. 165–213Google Scholar
  4. Comhaire, F. and Kunnen, M. (1985). Factors affecting the probability of conception after treatment of subfertile men with varicocele by transcatheter embolization with Bucrylate (R). Fertil. Steril., 43, 781PubMedGoogle Scholar
  5. Comhaire, F., Kunnen, M. and Hahoum, C. (1981). Radiological anatomy of the internal spermatic vein(s) in 200 retrograde venograms. Int. J. Androl., 4, 379PubMedCrossRefGoogle Scholar
  6. Comhaire, F., Kunnen, M and Simons, M. (1984). Physiopathology of testicular dysfunction in varicocele: does varicocele exist without reflux in the internal spermatic vein? In Glezermen, M. and Jecht, E.W (eds.) pp. 88–96. (Berlin: Springer Verlag)Google Scholar
  7. Comhaire, F., Kunnen, M., Vandeweghe, M. and Simons, M. (1982). Comparison between different methods for the diagnosis of varicocele. In Jecht, E.W. and Zeitler, E. (eds.) Varicocele and Male Infertility. Recent Advances in Diagnosis and Therapy, pp. 88–96. (Berlin: Springer Verlag)Google Scholar
  8. Comhaire, F., Rowe, P. and Farley, T. (1987). Towards more objectivity in the management of male infertihty. Int. J. Androl., Suppl. 7, p. 1–53Google Scholar
  9. Comhaire, F. and Vermeulen, A. (1974). Varicocele sterility: Cortisol and catecholamines. Fertil. Steril., 25, 88PubMedGoogle Scholar
  10. Comhaire, F. and Vermeulen, A. (1975). Plasma testosterone in patients with varicocele and sexual inadequacy.J. Clin. Endocr. Metab., 40, 824PubMedCrossRefGoogle Scholar
  11. Dubin, L. and Amelar, R.D. (1977). Varicocele and results of varicocelectomy in selected subfertile men with varicocele. Fertil. Steril., 21, 606Google Scholar
  12. Etriby, A., Girgis, S.M., Hefnawy, H. and Ibrahim, A.A. (1967). Testicular changes in subfertile males with varicocele. Fertil Steril., 18, 666PubMedGoogle Scholar
  13. Freund, J., Handelsman, D.J., Conway, G.J. and Morris, J.G. (1980). Detection of varicocele by radionuclide blood-pool scanning. Radiology, 137, 227PubMedGoogle Scholar
  14. Handelsman, D.J., Conway, A J., Doylan, L.M. and Turtle, J.R. (1984). Testicular function in potential sperm donors: normal ranges and the effects of smoking and varicocele. Int. J. Androl., 7, 369PubMedCrossRefGoogle Scholar
  15. Harrison, R.M., Lewis, R.W. and Roberts, J.A. (1983). Testicular blood flow and fluid dynamics in monkeys with surgically induced varicoceles. J. Androl., 4, 256PubMedGoogle Scholar
  16. Ivanessivich, O. (1924). Las venas espermaticas del lazo izquierdo. Estado en 40 desecciones cadavericas y en 20 operationes por hernia y varicocele. Sem. Med., 1, 1191Google Scholar
  17. Kormano, M., Kahanpaa, K., Svinhufvud, U. and Tahti, E. (1970). Thermography of varicocele. Fertil. Steril., 21, 558PubMedGoogle Scholar
  18. Kunnen, M. (1980). Neue Technik zun Embolisation der Vena spermatica interna: intravenoser Gewebekleber. Fortschr. Rontgenstr., 133, 625CrossRefGoogle Scholar
  19. Lima, S.S., Castro, M.P. and Costa, O. (1978). A new method for the treatment of varicocele. Androloga, 10, 103CrossRefGoogle Scholar
  20. Wallijn, E. and Desmet, R. (1978). Hydrocele: a frequently overlooked complication after high ligation of the spermatic vein for varicocele. Int. J. Androl., 1, 411CrossRefGoogle Scholar
  21. World Health Organisation (1985). Comparison among different methods for the diagnosis of varicocele. Fertil. Steril., 43, 575Google Scholar
  22. Zorgniotti, A.W. and MacLeod, J. (1973). Studies in temperature, human semen quality and varicocele. Fertil. Steril., 24, 854PubMedGoogle Scholar

Copyright information

© MTP Press Limited 1988

Authors and Affiliations

  • F. H. Comhaire

There are no affiliations available

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