The relationship between May-Thurner syndrome and varicocele in men: a narrative review
May-Thurner syndrome (MTS), defined by compression of the left common iliac vein, increases left gonadal-vein pressure and may underlie otherwise varicoceles. This narrative review synthesises 25 relevant publications: case reports, series, observational and interventional studieas. Pooled evidence...
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| Format: | Article |
| Language: | Russian |
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ZAO "Consilium Medicum"
2025-01-01
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| Series: | Consilium Medicum |
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| Online Access: | https://consilium.orscience.ru/2075-1753/article/viewFile/678910/203988 |
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| author | Vladimir A. Vorobev A. P. Chemezov Kirill M. Su-Yanz Amirkhon Kh. Iakubov |
| author_facet | Vladimir A. Vorobev A. P. Chemezov Kirill M. Su-Yanz Amirkhon Kh. Iakubov |
| author_sort | Vladimir A. Vorobev |
| collection | DOAJ |
| description | May-Thurner syndrome (MTS), defined by compression of the left common iliac vein, increases left gonadal-vein pressure and may underlie otherwise varicoceles. This narrative review synthesises 25 relevant publications: case reports, series, observational and interventional studieas. Pooled evidence indicates that 67–90% of men with varicocele exhibit at least 25% iliac-venous compression, and that successful iliac stenting leads to regression of varicocele symptoms and improved fertility. The diagnostic value of combining duplex ultrasound with computed tomographic/magnetic resonance venography is highlighted, whereas catheter venography with intravascular ultrasound remains the reference for confirming haemodynamic significance. Gaps in data regarding long-term stent patency and the epidemiology of MTS in asymptomatic males have been identified. It advocates systematic iliac-vein assessment in men presenting with recurrent or bilateral varicocele and calls for prospective multicentre trials comparing surgical ligation with endovascular correction. |
| format | Article |
| id | doaj-art-764fac08292a441ca102be5f38bef7b4 |
| institution | Kabale University |
| issn | 2075-1753 2542-2170 |
| language | Russian |
| publishDate | 2025-01-01 |
| publisher | ZAO "Consilium Medicum" |
| record_format | Article |
| series | Consilium Medicum |
| spelling | doaj-art-764fac08292a441ca102be5f38bef7b42025-08-20T03:59:36ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702025-01-0127738038410.26442/20751753.2025.7.2032824963The relationship between May-Thurner syndrome and varicocele in men: a narrative reviewVladimir A. Vorobev0https://orcid.org/0000-0003-3285-5559A. P. Chemezov1https://orcid.org/0009-0009-0939-8186Kirill M. Su-Yanz2https://orcid.org/0009-0005-9143-916XAmirkhon Kh. Iakubov3https://orcid.org/0009-0006-2892-0900Irkutsk State Medical UniversityIrkutsk State Medical UniversityIrkutsk State Medical UniversityIrkutsk State Medical UniversityMay-Thurner syndrome (MTS), defined by compression of the left common iliac vein, increases left gonadal-vein pressure and may underlie otherwise varicoceles. This narrative review synthesises 25 relevant publications: case reports, series, observational and interventional studieas. Pooled evidence indicates that 67–90% of men with varicocele exhibit at least 25% iliac-venous compression, and that successful iliac stenting leads to regression of varicocele symptoms and improved fertility. The diagnostic value of combining duplex ultrasound with computed tomographic/magnetic resonance venography is highlighted, whereas catheter venography with intravascular ultrasound remains the reference for confirming haemodynamic significance. Gaps in data regarding long-term stent patency and the epidemiology of MTS in asymptomatic males have been identified. It advocates systematic iliac-vein assessment in men presenting with recurrent or bilateral varicocele and calls for prospective multicentre trials comparing surgical ligation with endovascular correction.https://consilium.orscience.ru/2075-1753/article/viewFile/678910/203988may-thurner syndromevaricocelevenous compressionmale infertilityendovascular treatment |
| spellingShingle | Vladimir A. Vorobev A. P. Chemezov Kirill M. Su-Yanz Amirkhon Kh. Iakubov The relationship between May-Thurner syndrome and varicocele in men: a narrative review Consilium Medicum may-thurner syndrome varicocele venous compression male infertility endovascular treatment |
| title | The relationship between May-Thurner syndrome and varicocele in men: a narrative review |
| title_full | The relationship between May-Thurner syndrome and varicocele in men: a narrative review |
| title_fullStr | The relationship between May-Thurner syndrome and varicocele in men: a narrative review |
| title_full_unstemmed | The relationship between May-Thurner syndrome and varicocele in men: a narrative review |
| title_short | The relationship between May-Thurner syndrome and varicocele in men: a narrative review |
| title_sort | relationship between may thurner syndrome and varicocele in men a narrative review |
| topic | may-thurner syndrome varicocele venous compression male infertility endovascular treatment |
| url | https://consilium.orscience.ru/2075-1753/article/viewFile/678910/203988 |
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