Fode Mikkel, Sønksen Jens
Urologisk Afdeling, Herlev Hospital, DK-2730 Herlev, Denmark.
Ugeskr Laeger. 2009 Nov 16;171(47):3424-9.
Varicoceles are present in about 15% of males. In spite of substantial research, uncertainty remains about etiology, pathophysiology and treatment modalities. Furthermore, there is no consensus about the possible association between varicoceles and male infertility. The purpose of this review is to shed light on these aspects. A review of the literature suggests an association between varicoceles and infertility. The pathophysiology seems to be multifactorial. Microsurgical varicocelectomy seems to be the treatment with the lowest number of complications and recurrences.
精索静脉曲张在约15%的男性中存在。尽管进行了大量研究,但病因、病理生理学和治疗方式仍存在不确定性。此外,关于精索静脉曲张与男性不育之间可能的关联也没有达成共识。本综述的目的是阐明这些方面。文献综述表明精索静脉曲张与不育之间存在关联。病理生理学似乎是多因素的。显微外科精索静脉结扎术似乎是并发症和复发率最低的治疗方法。