Authors :
Dr. Abdirahman Moalim Hassan Ibrahim; Dr. Ibrahim Holds
Volume/Issue :
Volume 9 - 2024, Issue 8 - August
Google Scholar :
https://tinyurl.com/y762pc6w
Scribd :
https://tinyurl.com/6krvjvdn
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24AUG551
Abstract :
Testicular varicoceles, a common condition
characterized by the dilation and enlargement of veins
within the scrotum, are predominantly found in the
adolescent and young adult age group. This condition can
adversely affect testicular function in various ways,
including decreased sperm production, reduced sperm
quality, and even testicular atrophy.
The prevalence of varicoceles varies across different
regions, with estimates ranging from 15-20% in Somalia
and other parts of Africa, 10-15% in Asia, and 15-20% in
the United States and other parts of America. In the small
island nation of Erub, the incidence is relatively lower, at
around 5-10% of the male population.
The exact etiology of varicoceles is not fully
understood, but it is believed to be related to a
combination of factors, such as genetic predisposition,
anatomical abnormalities, and environmental influences.
Certain risk factors, including obesity, sedentary lifestyle,
and exposure to high temperatures, have been associated
with an increased risk of developing varicoceles.
While varicoceles can adversely affect testicular
function and fertility, it is important to note that not all
individuals with varicoceles experience fertility-related
problems. The management of varicoceles often involves
a multidisciplinary approach, with close monitoring and
periodic evaluation being the recommended approach for
asymptomatic individuals. In cases where varicoceles are
causing symptoms or affecting fertility, various treatment
options, such as surgical repair (varicocelectomy) or
percutaneous embolization techniques, may be
considered.
Understanding the prevalence, etiology, and
management strategies of varicoceles is crucial for
healthcare professionals to provide appropriate care and
support for individuals affected by this condition.
Keywords :
Varicocele, Recurrence, Microscopic Varicocelectomy, Subinguinal.
References :
- Alsaikhan B, Alrabeeah K, Delouya G, Zini A. Epidemiology of varicocele. Asian J Androl. 2016;18(2):179–181. doi:10.4103/1008-682X.172640
- Amelar RD, Dubin L. Therapeutic implications of left, right, and bilateral varicocelectomy. Urology. 1987;30(1):53–59. doi:10.1016/0090-4295(87)90573-5
- Binsaleh S, Lo KC. Varicocelectomy: microsurgical inguinal varicocelectomy is the treatment of choice. Can Urol Assoc J. 2007;1(3):277–278.
- Cayan S, Shavakhabov S, Kadioğlu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2008;30(1):33–40. doi:10.2164/jandrol.108.005967
- Dubin L, Amelar RD. Varicocele size and results of varicocelectomy in selected subfertile men with varicocele. Fertil Steril. 1970;21(8):606–609. doi:10.1016/S0015-0282(16)37684-1
- Eisenberg ML, Lipshultz LI. Varicocele-induced infertility: newer insights into its pathophysiology. Indian J Urol. 2011;27(1):58. doi:10.4103/0970-1591.78428
- Gat Y, Bachar GN, Zukerman Z, Belenky A, Gornish M. Varicocele: a bilateral disease. Fertil Steril. 2004;81(2):424–429. doi:10.1016/j.fertnstert.2003.08.010
- Ghanem H, Anis T, El-Nashar A, Shamloul R. Subinguinal microvaricocelectomy versus retroperitoneal varicocelectomy: comparative study of complications and surgical outcome. Urology. 2004;64(5):1005–1009. doi:10.1016/j.urology.2004.06.060
- Goldstein M, Gilbert BR, Dicker AP, Dwosh J, Gnecco C. Microsurgical inguinal varicocelectomy with delivery of the testis: an artery and lymphatic sparing technique. J Urol. 1992;148(6):1808–1811. doi:10.1016/S0022-5347(17)37035-0
- Ito H, Kotake T, Hamano M, Yanagi S. Results obtained from microsurgical therapy of varicocele. Urol Int. 1993;51(4):225–227. doi:10.1159/000282549
- Krishna Reddy S, Basha Shaik A, Sailaja S, Venkataramanaiah M. Outcome of varicocelectomy with different degrees of clinical varicocele in infertile male. Adv Androl. 2015;2015.
- Kupis Ł, Dobroński PA, Radziszewski P. Varicocele as a source of male infertility – current treatment techniques. Cent European J Urol. 2015;68(3):365–370. doi:10.5173/ceju.2015.642
- Practice Committee of the American Society for Reproductive Medicine. Report on varicocele and infertility: a committee opinion. Fertil Steril. 2014;102(6):1556–1560. doi:10.1016/j.fertnstert. 2014.10.007
- Rotker K, Sigman M. Recurrent varicocele. Asian J Androl. 2016;18(2):229–233. doi:10.4103/1008-682X.171578
- Zini A. Varicocelectomy: microsurgical subinguinal technique is the treatment of choice. Can Urol Assoc J. 2007;1(3):273–276.
Testicular varicoceles, a common condition
characterized by the dilation and enlargement of veins
within the scrotum, are predominantly found in the
adolescent and young adult age group. This condition can
adversely affect testicular function in various ways,
including decreased sperm production, reduced sperm
quality, and even testicular atrophy.
The prevalence of varicoceles varies across different
regions, with estimates ranging from 15-20% in Somalia
and other parts of Africa, 10-15% in Asia, and 15-20% in
the United States and other parts of America. In the small
island nation of Erub, the incidence is relatively lower, at
around 5-10% of the male population.
The exact etiology of varicoceles is not fully
understood, but it is believed to be related to a
combination of factors, such as genetic predisposition,
anatomical abnormalities, and environmental influences.
Certain risk factors, including obesity, sedentary lifestyle,
and exposure to high temperatures, have been associated
with an increased risk of developing varicoceles.
While varicoceles can adversely affect testicular
function and fertility, it is important to note that not all
individuals with varicoceles experience fertility-related
problems. The management of varicoceles often involves
a multidisciplinary approach, with close monitoring and
periodic evaluation being the recommended approach for
asymptomatic individuals. In cases where varicoceles are
causing symptoms or affecting fertility, various treatment
options, such as surgical repair (varicocelectomy) or
percutaneous embolization techniques, may be
considered.
Understanding the prevalence, etiology, and
management strategies of varicoceles is crucial for
healthcare professionals to provide appropriate care and
support for individuals affected by this condition.
Keywords :
Varicocele, Recurrence, Microscopic Varicocelectomy, Subinguinal.