The Authors have examined, over a period of two years, 110 patients presenting with varicocele and infertility. Varicocele has an incidence of 40% in male sterility, causing oligozoospermia and asthenospermia. Patients first underwent non-invasive tests such as Doppler and echo-Doppler tests. According to the Authors experience, Doppler speedometry is decisive for the diagnosis of both idiopathic and subclinical varicocele, for the post-operative control of microsurgical anastomosis, and for the intra-operative detection of accessory spermatic veins. The surgical technique used by the Authors is the modified Palomo technique, but other techniques are investigated as well. Post-operative results, concerning both spermiogram and relapses are also evaluated.
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Urol Ann
January 2025
Department of Urology, King Fahad General Hospital, Jeddah, Saudi Arabia.
Background: Male infertility is a major health problem that can have a tremendous negative impact on the affected individuals and couples. The use of folk medicine is common practice in the Middle Eastern region, especially before seeking conventional medical treatment. Unfortunately, some of these remedies might be potentially harmful.
View Article and Find Full Text PDFWorld J Mens Health
February 2025
Department of Urology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Korea.
Varicocele is a common urological disease and varicocele has long been recognized as a condition that could affect male fertility. Although varicocele is the most common surgically correctable cause of male infertility, not all varicoceles require treatment. Because the appropriate diagnosis and management of varicoceles remain less clear in many patients, it is important to diagnose clinically significant varicoceles that can benefit from treatment.
View Article and Find Full Text PDFBiology (Basel)
January 2025
Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy.
Peroxisome Proliferator-Activated Receptor Gamma (PPARγ) is a regulating agent in antioxidant response also involved in controlling inflammation. The impact of varicocele and urogenital infections on sperm PPARγ expression was studied. The PPARγ gene expression was investigated in spermatozoa of 26 normozoospermic men grouped according to their clinical conditions: normal semen parameters (N), normal semen parameters and varicocele (N + V), and normal semen parameters and urogenital infections (N + UI).
View Article and Find Full Text PDFCureus
January 2025
Department of Urology, University of Ioannina, Ioannina, GRC.
Purpose: The efficacy of varicocelectomy in treating infertility among men with ultrasonography-detected subclinical varicocele continues to be a topic of clinical uncertainty. This multicentric, prospective, non-randomized study aimed to evaluate the effect of microsurgical ligation of the internal spermatic vein in men with left subclinical varicocele and no other infertility causes.
Patients And Methods: The study included 34 infertile men diagnosed with subclinical left varicocele by color Doppler ultrasonography.
Actas Urol Esp (Engl Ed)
February 2025
Departamento de Urología, Facultad de Medicina, Universidad de Harran, Sanliurfa, Turkey.
Introduction: Varicocele, defined as abnormal convoluted enlargement of the pampiniform plexus veins, is the most common cause of correctable male infertility. This study aimed to investigate the effect of blood drainage in varicose veins on spermiogram parameters, postoperative pain, cosmetic appearance, and patient satisfaction in patients undergoing subinguinal microscopic varicocelectomy.
Methods: Patients diagnosed with clinical varicocele and admitted to our urology outpatient clinic between January 2020 and January 2024 were evaluated.
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