To investigate whether bilateral surgery can bring more benefits to infertile patients with bilateral varicocele than unilateral surgery. A search of PubMed, Web of Science, EMBASE and the Cochrane Library on 13 January 2019 was conducted to identify studies published in English that used varicocelectomy. The protocol of the present meta-analysis was pre-published on PROSPERO (registration number CRD42019093894). Primary outcomes were spontaneous pregnancy rates. A total of eleven articles were finally enrolled in, with a total of 1,743 patients. Spontaneous pregnancy rate was higher in patient with bilateral varicocelectomy than unilateral varicocelectomy with an odds ratio (OR) of 1.89 (95% CI 1.52-2.35; I = 0%; p < .00001). The results indicated bilateral is superior than unilateral varicocelectomy concerning sperm concentration (SMD: 2.88 × 10 /ml; 95% CI: 1.06, 4.70; I = 93%), sperm motility (SMD: 5.08; 95% CI: 2.65, 7.50; I = 0%), progression of sperm motility (SMD: 6.48; 95% CI: 5.16, 7.81; I = 0%) and sperm morphology (SMD: 2.38%; 95% CI: 0.72, 4.03; I = 94%) between bilateral and unilateral varicocelectomy. Bilateral varicocelectomy may be superior to unilateral in regard to spontaneous pregnancy rate and sperm motility for infertile male with bilateral varicocele (both left clinical and right subclinical varicocele and bilateral clinical varicocele).
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/and.13462 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Beyond the Incision: A Comparative Study of Suprainguinal and Inguinal Varicocele Surgeries.
Cureus
August 2024
General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Background Varicocele, characterised by the abnormal dilation of the pampiniform plexus of scrotal veins, is a prevalent and treatable cause contributing to male infertility, affecting 40% of men experiencing primary infertility and 80% of those with secondary infertility. Often asymptomatic, it can lead to chronic scrotal pain or a feeling of heaviness. Surgical interventions such as open, laparoscopic, or microsurgical varicocelectomy aim to eliminate venous reflux into the scrotum.
View Article and Find Full Text PDFEffects of Systolic Blood Pressure Elevation on Internal Sperm Artery Identification During Microsurgical Subinguinal Varicocelectomy.
Am J Mens Health
July 2024
Department of Urology, The First People's Hospital of Aksu Region, Aksu, China.
Microsurgical subinguinal varicocelectomy (MSV) is the gold standard for treating varicoceles. Preservation of the internal spermatic arteries (ISAs) during MSV is important for sperm production. This study aimed to evaluate the safety and efficacy of elevating systolic blood pressure (SBP) using MSV.
View Article and Find Full Text PDFLong-term impact of commonly performed operations in pediatric urology on reproductive and sexual health.
Ther Adv Urol
May 2024
Desai Sethi Urology Institute, University of Miami, 1150 NW 14th Street, Miami, FL 33136, USA.
Introduction: Sexual dysfunction is highly prevalent among men of reproductive age. Clinical practice guidelines have been established to assist providers in identification and education of patients who are at increased risk for infertility and sexual dysfunction with certain congenital and acquired urogenital disorders. The authors sought to review the reproductive and sexual health implications of treating common childhood urological conditions with commonly performed surgical procedures.
View Article and Find Full Text PDFSemen parameter enhancement after varicocelectomy: Insights into varicose vein diameter and BMI influence: A cross-sectional study.
Urologia
November 2024
Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Introduction: Varicocele is a condition in which the veins in the spermatic cord become enlarged and twisted. Varicocele is widely recognized as the leading cause of male infertility due to its significant impact on reproductive health in men. The aim of this study was to investigate the relationship between the diameter of the varicose vein and the recovery rate of the spermogram after varicocelectomy.
View Article and Find Full Text PDFThe effect untreated right subclinical varicocele on the outcomes of contralateral left clinical varicocelectomy in infertile patients.
Arch Ital Urol Androl
January 2024
Department of Urology, Faculty of Medicine, Alanya Alaaddin Keykubat University, Alanya ,Turkey.
Purpose: The management of infertile patients with unilateral subclinical varicocele (SCV) and contralateral clinical varicocele (CV) remains controversial. We aimed to evaluate the effect of untreating SCV on the outcome of contralateral clinical varicocelectomy in infertile patients with oligoasthenozoospermia (OA).
Materials And Methods: Infertile patients with the diagnosis of OA who underwent left varicocelectomy were retrospectively evaluated.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!