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Varicocele and male infertility: an interpretation of the European Society of Department of Urology (EUA) guidelines for the diagnosis and t
Varicocele and male infertility: an interpretation of the European Society of Department of Urology (EUA) guidelines for the diagnosis and treatment of male infertility
Published: 2008-12-11 Publisher: Zhou Yuchun (visit time: 927)
(turn to Dr. Zhang Xindong's personal website)
Varicocele is a kind of common disease of male, exists in the 2-22% adult male, 25% of which may lead to male sperm abnormalities, but reduce the relationship between varicocele and male fertility is not exact. WHO is a large group of infertility research shows that both sides have lower fertility factors than to the high incidence rate of couples in the general population, suggesting that secondary factors like varicocele as the only woman in also have to show reduced fertility. In addition, 2-10% patients with varicocele pain, discomfort, after treatment can relieve symptoms.
1, sub clinical type: rest or Valsaval action did not touch or see varicocele, but Doppler detection of spermatic vein blood reflux.
2, level 1: only in the Valsaval after the action touched varicocele, and other time can not touch the veins.
3, level 2: rest can be touched, but can not see.
4, level 3: rest can touch and see.
1, the intervention methods mainly based on the experience of the treatment of physicians.
2. Laparoscopic varicocele ligation can be performed.
1, the varicocele may lead to reduced fertility in some patients but only in their spouses also fertility decline, the damage will be revealed.
2, although the treatment of adolescent varicocele may be effective, but there is a significant risk of overtreatment.
3. Randomized and controlled data analysis showed that there was no significant increase in the rate of pregnancy.
4, series of clinical examination showed that progressive testicular function decline in adolescent varicocele treatment.
5. There is no evidence of any benefit to the treatment of varicocele in adolescents who do not have testicular atrophy and endocrine abnormalities, which is generally not recommended unless clinical trials are required.
In conclusion, the clinical data analysis showed that there was no improvement in the fertility of adult varicocele ligation
(all of the above ideas come from EUA)
From the above can be concluded: adult male varicocele caused by abnormal semen and local discomfort, limited efficacy through surgical treatment, please careful surgery!!
If you are married and have no clinical experience of scrotal pain, you may not be treated; if the symptoms are obvious, it is recommended to be treated by surgery.
If unmarried is not fertile, it is best not to surgical treatment. It is reported that the sperm quality of some patients after operation is not rising and falling. Can go to the hospital to check semen, according to the specific situation and then consider whether to deal with.
Traditional Chinese medicine as a non-invasive treatment, curative effect is relatively positive (editor's note), it is recommended!