The role of varicocele repair in the new era of assisted reproductive technology
Infertility affects 10-15% of couples who are trying to conceive, and half of the cases are due to male infertility. Intracytoplasmic sperm injection is increasingly being used to overcome multiple sperm deficiencies. Due to its effectiveness, some have proposed ICSI as a solution for all cases of m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier España
2008-01-01
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| Series: | Clinics |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322008000300018 |
| _version_ | 1811229066355802112 |
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| author | Marcello Cocuzza Mariana Amora Cocuzza Frances Monette Papa Bragais Ashok Agarwal |
| author_facet | Marcello Cocuzza Mariana Amora Cocuzza Frances Monette Papa Bragais Ashok Agarwal |
| author_sort | Marcello Cocuzza |
| collection | DOAJ |
| description | Infertility affects 10-15% of couples who are trying to conceive, and half of the cases are due to male infertility. Intracytoplasmic sperm injection is increasingly being used to overcome multiple sperm deficiencies. Due to its effectiveness, some have proposed ICSI as a solution for all cases of male infertility, regardless of the cause. Hence, even men with potentially treatable causes of infertility have sought the aid of assisted reproductive technology, rather than undergo specific therapies to treat their infertility. Varicoceles are the most frequent physical finding in infertile men; indeed, they may be responsible for nearly one-third of cases of male infertility. Varicocele management, however, has always been a controversial issue because very few randomized, controlled studies have been performed to examine varicocelectomy as an infertility treatment. Significant evidence suggests that varicoceles have a harmful effect on the testis and that varicocelectomy can not only prevent progressive decline in testicular function but also reverse the damage. However, the degree to which varicocele repair improves pregnancy rates and the success of assisted reproductive technology remains controversial. |
| first_indexed | 2024-04-12T10:08:17Z |
| format | Article |
| id | doaj.art-d86b046197fc4f338a7b04018c0f8386 |
| institution | Directory Open Access Journal |
| issn | 1807-5932 1980-5322 |
| language | English |
| last_indexed | 2024-04-12T10:08:17Z |
| publishDate | 2008-01-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-d86b046197fc4f338a7b04018c0f83862022-12-22T03:37:23ZengElsevier EspañaClinics1807-59321980-53222008-01-0163339540410.1590/S1807-59322008000300018The role of varicocele repair in the new era of assisted reproductive technologyMarcello CocuzzaMariana Amora CocuzzaFrances Monette Papa BragaisAshok AgarwalInfertility affects 10-15% of couples who are trying to conceive, and half of the cases are due to male infertility. Intracytoplasmic sperm injection is increasingly being used to overcome multiple sperm deficiencies. Due to its effectiveness, some have proposed ICSI as a solution for all cases of male infertility, regardless of the cause. Hence, even men with potentially treatable causes of infertility have sought the aid of assisted reproductive technology, rather than undergo specific therapies to treat their infertility. Varicoceles are the most frequent physical finding in infertile men; indeed, they may be responsible for nearly one-third of cases of male infertility. Varicocele management, however, has always been a controversial issue because very few randomized, controlled studies have been performed to examine varicocelectomy as an infertility treatment. Significant evidence suggests that varicoceles have a harmful effect on the testis and that varicocelectomy can not only prevent progressive decline in testicular function but also reverse the damage. However, the degree to which varicocele repair improves pregnancy rates and the success of assisted reproductive technology remains controversial.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322008000300018VaricoceleVaricocelectomyMale infertilitySeminal parametersAssisted reproductive techniques |
| spellingShingle | Marcello Cocuzza Mariana Amora Cocuzza Frances Monette Papa Bragais Ashok Agarwal The role of varicocele repair in the new era of assisted reproductive technology Clinics Varicocele Varicocelectomy Male infertility Seminal parameters Assisted reproductive techniques |
| title | The role of varicocele repair in the new era of assisted reproductive technology |
| title_full | The role of varicocele repair in the new era of assisted reproductive technology |
| title_fullStr | The role of varicocele repair in the new era of assisted reproductive technology |
| title_full_unstemmed | The role of varicocele repair in the new era of assisted reproductive technology |
| title_short | The role of varicocele repair in the new era of assisted reproductive technology |
| title_sort | role of varicocele repair in the new era of assisted reproductive technology |
| topic | Varicocele Varicocelectomy Male infertility Seminal parameters Assisted reproductive techniques |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322008000300018 |
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