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Review
. Mar-Apr 2016;18(2):171-8.
doi: 10.4103/1008-682X.170866.

The Evolution and Refinements of Varicocele Surgery

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Free PMC article
Review

The Evolution and Refinements of Varicocele Surgery

Joel L Marmar. Asian J Androl. .
Free PMC article

Abstract

Varicoceles had been recognized in clinical practice for over a century. Originally, these procedures were utilized for the management of pain but, since 1952, the repairs had been mostly for the treatment of male infertility. However, the diagnosis and treatment of varicoceles were controversial, because the pathophysiology was not clear, the entry criteria of the studies varied among centers, and there were few randomized clinical trials. Nevertheless, clinicians continued developing techniques for the correction of varicoceles, basic scientists continued investigations on the pathophysiology of varicoceles, and new outcome data from prospective randomized trials have appeared in the world's literature. Therefore, this special edition of the Asian Journal of Andrology was proposed to report much of the new information related to varicoceles and, as a specific part of this project, the present article was developed as a comprehensive review of the evolution and refinements of the corrective procedures.

Figures

Figure 1
Figure 1
A modified Ivanissevich procedure (Dubin and Amelar27).
Figure 2
Figure 2
Sub-inguinal microsurgical varicocelectomy (Marmar et al.46).
Figure 3
Figure 3
Microsurgical varicocelectomy with delivery of the testicle (Goldstein et al.47).
Figure 4
Figure 4
Antegrade sclerotherapy (Tauber and Johnsen62).
Figure 5
Figure 5
Complete sclerotherapy of the temporarily occluded spermatic cord (Colpi et al.69).

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References

    1. Tulloch WS. Consideration of sterility: subfertility in the male. Edinb Med J. 1952;59:29. - PMC - PubMed
    1. Tulloch WS. Varicocele in subfertility. Results of treatment. Br Med J. 1955;2:356–8. - PMC - PubMed
    1. Baazeem A, Belsile E, Ciampi A, Dohle G, Jarvi K, et al. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Eur Urol. 2011;60:796–808. - PubMed
    1. Diegido P, Jhaveri JK, Ghannam S, Pinkhasov R, Shabsigh R, et al. Review of current varicocelectomy techniques and their outcomes. BJU Int. 2011;108:1157–72. - PubMed
    1. Meacham RB, Joycbase GF, Wise M, Kparker A, Niederberger C. Male infertility. J Urol. 2007;177:2058–66. - PubMed
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