A Critical Appraisal on the Role of Varicocele in Male Infertility

Varicocele is a major cause of male infertility, as it may impair spermatogenesis through several distinct physiopathological mechanisms. With the recent advances in biomolecular techniques and the development of novel sperm functional tests, it has been possible to better understand the mechanisms...

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Main Authors: Ricardo Miyaoka, Sandro C. Esteves
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/597495
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author Ricardo Miyaoka
Sandro C. Esteves
author_facet Ricardo Miyaoka
Sandro C. Esteves
author_sort Ricardo Miyaoka
collection DOAJ
description Varicocele is a major cause of male infertility, as it may impair spermatogenesis through several distinct physiopathological mechanisms. With the recent advances in biomolecular techniques and the development of novel sperm functional tests, it has been possible to better understand the mechanisms involved in testicular damage provoked by varicocele and, therefore, propose optimized ways to prevent and/or reverse them. Up to now, there is still controversy involving the true benefit of varicocele repair in subfertile men as well as in certain specific situations such as concomitant contralateral subclinical varicocele or associated nonobstructive azoospermia. Also, with the continued development of assisted reproductive technology new issues and questions are emerging regarding the role of varicocelectomy in this context. This paper reviews the most recent data available on the pathogenesis, diagnosis, and management of varicocele with regard to male infertility.
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spelling doaj-art-841067b437c543fcb63d58fec93e62ee2025-02-03T01:31:06ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/597495597495A Critical Appraisal on the Role of Varicocele in Male InfertilityRicardo Miyaoka0Sandro C. Esteves1ANDROFERT—Center for Male Reproduction, Av. Dr. Heitor Penteado 1464, Campinas 13075-460, São Paulo, BrazilANDROFERT—Center for Male Reproduction, Av. Dr. Heitor Penteado 1464, Campinas 13075-460, São Paulo, BrazilVaricocele is a major cause of male infertility, as it may impair spermatogenesis through several distinct physiopathological mechanisms. With the recent advances in biomolecular techniques and the development of novel sperm functional tests, it has been possible to better understand the mechanisms involved in testicular damage provoked by varicocele and, therefore, propose optimized ways to prevent and/or reverse them. Up to now, there is still controversy involving the true benefit of varicocele repair in subfertile men as well as in certain specific situations such as concomitant contralateral subclinical varicocele or associated nonobstructive azoospermia. Also, with the continued development of assisted reproductive technology new issues and questions are emerging regarding the role of varicocelectomy in this context. This paper reviews the most recent data available on the pathogenesis, diagnosis, and management of varicocele with regard to male infertility.http://dx.doi.org/10.1155/2012/597495
spellingShingle Ricardo Miyaoka
Sandro C. Esteves
A Critical Appraisal on the Role of Varicocele in Male Infertility
Advances in Urology
title A Critical Appraisal on the Role of Varicocele in Male Infertility
title_full A Critical Appraisal on the Role of Varicocele in Male Infertility
title_fullStr A Critical Appraisal on the Role of Varicocele in Male Infertility
title_full_unstemmed A Critical Appraisal on the Role of Varicocele in Male Infertility
title_short A Critical Appraisal on the Role of Varicocele in Male Infertility
title_sort critical appraisal on the role of varicocele in male infertility
url http://dx.doi.org/10.1155/2012/597495
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