have broadened the therapeutic options for varicocele.
Correlation of ultrasound-measured venous size and reversal of flow with Valsalva with improvement in semen-analysis parameters after varicocelectomy
Clinical versus subclinical varicocele: improvement in fertility after varicocelectomy
Laparoscopic vs open varicocelectomy
in children and adolescents: Review of the recent literature and meta-analysis.
Effect of microsurgical varicocelectomy
on human sperm chromatin and DNA integrity: a prospective trial.
Shortly after laboratory evaluations, the patients underwent varicocelectomy
DNA damage in sperms was assessed before and after varicocelectomy
(3 months) by comet assay (9) (single cell gel electrophoresis) in all 11 patients and showed no significant difference in DNA damage levels at 3 months post-varicocelectomy
(despite significant decline in ROS levels).
RDA: The use of ultrasound to evaluate scrotal contents was a major advance, as was the development of new techniques, instruments, and exquisite suture materials for microsurgical varicocelectomy
, vasovasostomy, and vasoepididymostomy.
Djaladat et al (23) assessed the presence of ASAB before and six months after varicocelectomy
and compared those patients to an idiopathic infertile population without varicocele.
To 28 patients underwent varicocelectomy
with the technique of Ligasure(r) because they were found pelvic varicosities and one patient was found endometriosis.
Some patients undergoing hydrocelectomy and varicocelectomy
have reported difficulties in urinating (Twersky, Fishman, & Homel, 1997).
The paternity outcomes after adolescent varicocele repair are hard to come by, but a 75% paternity rate was reported in men who had undergone varicocelectomy
at age 15-19 for abnormal semen parameters.