The significance of clinical practice guidelines on adult varicocele detection and management
Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an impro...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Asian Journal of Andrology |
| Subjects: | |
| Online Access: | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=2;spage=269;epage=275;aulast=Shridharani |
| _version_ | 1818850115949953024 |
|---|---|
| author | Anand Shridharani Ryan C Owen Osama O Elkelany Edward D Kim |
| author_facet | Anand Shridharani Ryan C Owen Osama O Elkelany Edward D Kim |
| author_sort | Anand Shridharani |
| collection | DOAJ |
| description | Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varicocelectomy is weak and conflicting. The stance taken by the AUA and ASRM suggests that there is insufficient outcomes data to support evidenced-based guidelines, citing evidence used to provide current recommendations are generally of a low quality level. On the other hand, the EAU Guidelines give a level 1a of evidence for management of varicoceles that are clinically palpable, associated with subnormal semen analyses and having otherwise unexplained fertility. Besides aiding with clinical varicocele detection and management, clinical practice opinion statements and guidelines aim to direct and strengthen the infrastructure of future studies. We review the current status of opinion statements and guidelines in varicocele and management detection with focus on their application in practice. |
| first_indexed | 2024-12-19T06:44:00Z |
| format | Article |
| id | doaj.art-1263cd60fc684f0da7731d239c1e33a9 |
| institution | Directory Open Access Journal |
| issn | 1008-682X 1745-7262 |
| language | English |
| last_indexed | 2024-12-19T06:44:00Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Andrology |
| spelling | doaj.art-1263cd60fc684f0da7731d239c1e33a92022-12-21T20:31:57ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622016-01-0118226927510.4103/1008-682X.172641The significance of clinical practice guidelines on adult varicocele detection and managementAnand ShridharaniRyan C OwenOsama O ElkelanyEdward D KimVaricoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varicocelectomy is weak and conflicting. The stance taken by the AUA and ASRM suggests that there is insufficient outcomes data to support evidenced-based guidelines, citing evidence used to provide current recommendations are generally of a low quality level. On the other hand, the EAU Guidelines give a level 1a of evidence for management of varicoceles that are clinically palpable, associated with subnormal semen analyses and having otherwise unexplained fertility. Besides aiding with clinical varicocele detection and management, clinical practice opinion statements and guidelines aim to direct and strengthen the infrastructure of future studies. We review the current status of opinion statements and guidelines in varicocele and management detection with focus on their application in practice.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=2;spage=269;epage=275;aulast=Shridharaniguidelines; varicocele; varicocele detection; varicocele management; varicocelectomy |
| spellingShingle | Anand Shridharani Ryan C Owen Osama O Elkelany Edward D Kim The significance of clinical practice guidelines on adult varicocele detection and management Asian Journal of Andrology guidelines; varicocele; varicocele detection; varicocele management; varicocelectomy |
| title | The significance of clinical practice guidelines on adult varicocele detection and management |
| title_full | The significance of clinical practice guidelines on adult varicocele detection and management |
| title_fullStr | The significance of clinical practice guidelines on adult varicocele detection and management |
| title_full_unstemmed | The significance of clinical practice guidelines on adult varicocele detection and management |
| title_short | The significance of clinical practice guidelines on adult varicocele detection and management |
| title_sort | significance of clinical practice guidelines on adult varicocele detection and management |
| topic | guidelines; varicocele; varicocele detection; varicocele management; varicocelectomy |
| url | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=2;spage=269;epage=275;aulast=Shridharani |
| work_keys_str_mv | AT anandshridharani thesignificanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT ryancowen thesignificanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT osamaoelkelany thesignificanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT edwarddkim thesignificanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT anandshridharani significanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT ryancowen significanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT osamaoelkelany significanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement AT edwarddkim significanceofclinicalpracticeguidelinesonadultvaricoceledetectionandmanagement |