Objective: To investigate the effect of vascular endothelial growth factor (VEGF) injection into the testes on spermatogenesis and apoptosis in a varicocele-induced adolescent rat model.
Setting: University hospital urology research laboratory.
Animal(s): Six-week-old male Wistar rats (n = 32).
Intervention: The rats were divided into six groups: control group (n = 6), sham operated group (n = 6), left varicocele-induced group (n = 6), varicocele + varicocelectomy group (n = 6), varicocele + VEGF-injected group (n = 4), and varicocele + varicocelectomy + VEGF-injected group (n = 4).
Main Outcome Measure(s): Johnsen's score and apoptotic cells.
Result(s): The mean Johnsen's score was lower in the varicocele group compared with in the control and sham groups. The mean apoptotic index was significantly higher in the varicocele group compared with in the control and sham groups. Compared with the varicocele group, the mean apoptotic index was significantly lower in the varicocele + varicocelectomy, varicocele + VEGF, and varicocele + varicocelectomy + VEGF groups.
Conclusion(s): Varicocele may cause a decrease in spermatogenesis and an increase in the apoptotic index. VEGF may play a positive role in improving testicular damage and may also play a significant role in decreasing apoptosis in a varicocele-induced adolescent rat model.
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http://dx.doi.org/10.1016/j.fertnstert.2008.06.008 | DOI Listing |
J Pediatr Urol
December 2024
Pediatric Urology Unit, Bambino Gesù Children Hospital and Research Center IRCCS, Rome, Italy.
Introduction: Vital dyes lymphography during laparoscopic varicocelectomy (LV) has been suggested to allow for lymphatic mapping thereby allowing for lymphatic sparing (LS) and subsequent reduction of hydrocele formation. Intratesticular injection of the dye seems to achieve the best lymphatic visualization, however, the potential toxicity of some agents, is a cause of concern for the risk of testicular pathological changes. We report our experience with LV, to test the hypothesis that Intraoperative lymphography with methylene blue (BL), is safe and reduces the rate of post-operative hydrocelectomy.
View Article and Find Full Text PDFArab J Urol
September 2024
Department of Urology, Hamad Medical Corporation, Doha, Qatar.
Objective: To evaluate the effects of age on semen and hormonal parameters following microsurgical varicocelectomy among patients with grade 3 varicocele, and to compare fertility outcomes between younger (<40 years) and older (≥40 years) men.
Methods: Retrospective cohort study of infertile patients with clinical left grade 3 varicocele who underwent microsurgical subinguinal varicocelectomy (MV). Patients meeting the inclusion criteria ( = 550) were divided into two groups based on their age at the time of MV: <40 ( = 441) and ≥40 years ( = 109).
Medicina (Kaunas)
December 2024
Laboratory of Spermatology, Department of Urology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.
Varicocele repair in men with non-obstructive azoospermia (NOA) remains a subject of debate due to inconsistent outcomes. This study aimed to evaluate the impact of microsurgical varicocelectomy on sperm recovery rates in men with NOA and to assess the role of varicocele grade and testicular histopathology in predicting postoperative outcomes. A retrospective cohort study was conducted of 78 men diagnosed with NOA and clinical varicocele who underwent microsurgical subinguinal varicocelectomy with simultaneous diagnostic and therapeutic testicular biopsy at the Department of Urology of the University of Ioannina between September 2013 and December 2021.
View Article and Find Full Text PDFBMC Urol
December 2024
Department of Urology, 920th Hospital of Joint Logistic Support Force, Kunming, 650000, China.
Background: To analyze the safety and efficacy of microsurgical subinguinal varicocelectomy(MSV) performed with and without preservation of all testicular arteries and lymphatic system.
Methods: All of the 98 patients with varicocele who underwent MSV were included in the analysis. Fifty-eight male patients surgically underwent MSV with preservation of all testicular arteries and lymphatic system(Group 1).
Int Urol Nephrol
December 2024
Urocentre Urology Clinic, Adana, Turkey.
Purpose: To investigate the effects of varicocelectomy on premature ejaculation (PE) in patients with varicocele and infertility.
Methods: A total of 82 sexually active patients aged 18 years or over who had undergone microscopic subinguinal varicocelectomy with a clinical diagnosis of varicocele in 14 urology clinics between October 2021 and March 2023 with primary infertility were evaluated prospectively Patients were evaluated using the Turkish validated form of the 'Premature Ejaculation Diagnostic Tool' (PEDT) scale. A PEDT score of 11 or above was taken to indicate the presence of PE.
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