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Asian Journal of Andrology (2013) 15, 56β60; doi:10.1038/aja.2012.98; published online 12 November 2012
Microsurgical varicocelectomy: a review
Akanksha Mehta and Marc Goldstein
Department of Urology and Center for Male Reproductive Medicine and Surgery, Weill Cornell Medical College, New York, NY 10021, USA
Correspondence: Dr A Mehta, (akm9009@med.cornell.edu)
Received 1 August 2012; Revised 28 August 2012; Accepted 7 September 2012
Advance online publication 12 November 2012
| Abstract |
Varicocelectomy is the most commonly performed surgical procedure for the treatment of male infertility. Although several different techniques for varicocele repair have been described in the literature, microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized as the gold-standard approach for varicocelectomy, due to high success rates with minimal complications. Standard indications for varicocelectomy include palpable varicocele(s), with one or more abnormal semen parameters, and, for the couple trying to conceive, in the setting of normal or correctable female infertility. However, varicocele repair is often recommended and undertaken for reasons other than infertility, including low serum testosterone, testicular pain, testicular hypotrophy and poor sperm DNA quality. This article reviews the technical aspects of microsurgical varicocelectomy, and its indications in adults and adolescents.
Keywords: DNA fragmentation; hypogonadism; infertility; microsurgical varicocelectomy; orchalgia; varicocele repair |
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