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G. Pinggera, M. Mitterberger, G. Bartsch, H. Strasser, J. Gradl, F. Aigner, L. Pallwein, F. Frauscher (2008)
Assessment of the intratesticular resistive index by colour Doppler ultrasonography measurements as a predictor of spermatogenesisBJU International, 101
V. Poulakis, N. Ferakis, R. Vries, U. Witzsch, E. Becht (2006)
Induction of spermatogenesis in men with azoospermia or severe oligoteratoasthenospermia after antegrade internal spermatic vein sclerotherapy for the treatment of varicocele.Asian journal of andrology, 8 5
E. Kursh (1987)
What is the incidence of varicocele in a fertile population?Fertility and sterility, 48 3
T. Ishikawa, Y. Kondo, K. Yamaguchi, Y. Sakamoto, M. Fujisawa (2007)
Effect of varicocelectomy on patients with unobstructive azoospermia and severe oligospermiaBJU International, 101
S. Tarhan, B. Gümüş, İlker Gündüz, V. Ayyildiz, C. Göktan (2003)
Effect of Varicocele on Testicular Artery Blood Flow in Men Color Doppler InvestigationScandinavian Journal of Urology and Nephrology, 37
C. Naughton, A. Nangia, A. Agarwal (2001)
Pathophysiology of varicoceles in male infertility.Human reproduction update, 7 5
(1992)
World Health Organization: WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction
A. Ünsal, A. Turgut, F. Taşkın, U. Koşar, C. Karaman (2007)
Resistance and pulsatility index increase in capsular branches of testicular artery: Indicator of impaired testicular microcirculation in varicocele?Journal of Clinical Ultrasound, 35
A. Balcı, S. Karazincir, S. Gorur, Haldun Sumbas, Ertuğrul Eğilmez, T. Inandi (2008)
Long‐term effect of varicocele repair on intratesticular arterial resistance indexJournal of Clinical Ultrasound, 36
C. Hopps, M. Lemer, P. Schlegel, M. Goldstein (2003)
Intraoperative varicocele anatomy: a microscopic study of the inguinal versus subinguinal approach.The Journal of urology, 170 6 Pt 1
M. Czaplicki, L. Bablok, Z. Janczewski (1979)
Varicocelectomy in patients with azoospermia.Archives of andrology, 3 1
Terrence Sweeney, J. Rozum, R. Gore (1995)
Alteration of testicular microvascular pressures during venous pressure elevation.The American journal of physiology, 269 1 Pt 2
N. Sofikitis, C. Takahashi, I. Nakamura, S. Hirakawa, I. Miyagawa (1992)
Surgical repair of secondary right varicocele in rats with primary left varicocele: effects on fertility, testicular temperature, spermatogenesis, and sperm maturation.Archives of andrology, 28 1
O. Tanrıverdi, C. Miroğlu, K. Horasanlı, B. Altay, K. Caliskan, E. Gumus (2006)
Testicular blood flow measurements and mean resistive index values after microsurgical and high ligation varicocelectomy.Urology, 67 6
Chun-Hao Chen, Chin-Li Lu, T-C Cheng (2003)
Hand‐assisted laparoscopic nephrectomy: Complications related to the hand‐port siteBJU International, 91
Y. Kondo, T. Ishikawa, K. Yamaguchi, M. Fujisawa (2009)
Predictors of improved seminal characteristics by varicocele repairAndrologia, 41
S. Greenberg, Larry Lipshultz, A. Wein (1978)
Experience with 425 subfertile male patients.The Journal of urology, 119 4
N. Sun, T. Cheung, P. Khong, K. Chan, Paul Tam (2001)
Varicocele: Laparoscopic clipping and color Doppler follow-up.Journal of pediatric surgery, 36 11
G. Biagiotti, G. Cavallini, F. Modenini, G. Vitali, L. Gianaroli (2002)
Spermatogenesis and spectral echo‐colour Doppler traces from the main testicular arteryBJU International, 90
C. Naughton, A. Nangia, A. Agarwal (2001)
Varicocele and male infertility: Part II: Pathophysiology of varicoceles in male infertilityHuman Reproduction Update, 7
T. Sweeney, J. Rozum, C. Desjardins, Robert Gore (1991)
Microvascular pressure distribution in the hamster testis.The American journal of physiology, 260 5 Pt 2
Objectives: Varicocelectomy could be beneficial in oligospermic patients with varicocele. To investigate predictors of improvement in seminal parameters after varicocelectomy, the intra-testicular microcirculation was assessed before and after varicocelectomy to define suitable candidates for repair. Patients and Methods: This study included 45 oligospermic infertile patients with varicocele (23 with left and 22 bilateral). They were assessed by physical examination, semen analysis, power Doppler ultrasound and hormonal levels. Preoperative intra-testicular hemodynamic parameters were compared with 25 normal fertile controls. All patients underwent inguinal varicocelectomy and were followed-up for at least 6 months. Patients were then further subdivided into responders and non-responders according to improvement in their seminal parameters. Results: Preoperatively, the intra-testicular end diastolic velocity (EDV), resistive index (RI) and pulsatility index (PI) of oligospermic patients with varicocele were significantly different from the controls. Postoperatively, total motile sperm count improved in 27 cases. EDV, RI and PI revealed significant changes between responders and non-responders. Responders had significantly higher preoperative EDV and peak systolic velocity and lower RI, PI, and follicle-stimulating hormone (FSH) versus non-responders. With linear regression analysis, EDV and FSH were the significant predictors of improved total motile sperm count. Conclusion: Varicocelectomy is beneficial in oligospermic patients with high EDV and low FSH level.
Current Urology – Karger
Published: Jan 1, 2010
Keywords: Varicocele; Intra-testicular hemodynamics; Spermatogenesis; Predictors
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