Etiologic Factors in 1294 Consecutive Cases of Male Infertility

Dubin, Lawrence; Amelar, Richard D.

doi:10.1016/s0015-0282(16)38400-x

Cited by 528 publications

(189 citation statements)

References 12 publications

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“…Although few studies reported the correlation between varicocele and erectile failure [4,19,28], the incidence of varicocele in infertile men is increased compared with the incidence in the general population; many men with varicocele have children. The association between varicocele, abnormal semen parameters, and infertility is generally accepted but is not fully elucidated [6,8,13,25,27,29,35,38,39]. In a multicentered study on the diagnosis and investigation of the infertile couple through a WHO special program of research in human reproduction, varicocele was present in 11.7% of the total male population and in 25.4% of men with abnormal semen parameters.…”

Section: Discussionmentioning

confidence: 99%

Low Plasma Testosterone in Varicocele Patients With Impotence and Male Infertility

Younes

2000

Archives of Andrology

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Section: Discussionmentioning

confidence: 99%

Low Plasma Testosterone in Varicocele Patients With Impotence and Male Infertility

Younes

2000

Archives of Andrology

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“…1,2 It is the most frequent correctable disease of male infertility and numerous studies indicate the significant effect of treatment for varicocele on semen parameters and justify the procedure for male infertility.…”

Section: Introductionmentioning

confidence: 99%

Minimal invasiveness and effectivity of subinguinal microscopic varicocelectomy: a comparative study with retroperitoneal high and laparoscopic approaches

et al. 2005

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Aim : The standard management of varicocele repair is the subject of ongoing controversy. We retrospectively evaluated three surgical methods of varicocele treatment to determine the minimally invasive and most effective procedure. Methods : We performed 144 varicocelectomies on infertile patients with left clinical varicocele. Of the patients, 50 were treated with retroperitoneal high ligation under lumbar anesthesia, 33 with laparoscopic ligation under general anesthesia, and 61 with subinguinal microscopic ligation under local anesthesia. Operative time, hospital days, and clinical outcomes were compared between these techniques. Results : The operating time and hospitalization period required for subinguinal microscopic ligation was significantly shorter compared to those for the other procedures. All patients treated with subinguinal microscopic ligation could achieve normal activity as soon as they returned to their rooms. Postoperative complications were observed in five (10.0%) cases treated with high ligation and three (9.1%) laparoscopic cases, but were not observed after the subinguinal procedure. There were six cases (12.0%) of recurrence in the high ligation group and six (6.1%) in the laparoscopic group, but none in the subinguinal group. Sperm density was significantly improved in all procedures postoperatively, but sperm motility was not improved. The two-year pregnancy rate calculated by the Kaplan-Meier method was 35.8% for high ligation, 40.4% for laparoscopic ligation and 50.9% for subinguinal microscopic ligation, although there were no statistical differences between the three groups. Conclusion : We concluded that subinguinal microscopic varicocelectomy could be a minimally invasive procedure compared to the other two techniques and a worthy method for treating male infertility due to clinical varicocele.

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“…A relatively modest percentage of male infertility cases, 30e67% those with azoospermia [38], is caused by obstruction-stenosis of the seminal ducts. This type of pathology is of particular interest because it is potentially curable with the use of surgery.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous vesiculodeferentography in the diagnosis of male infertility: A review of our results and the data reported in the literature

Solivetti

Drusco²,

Pizzi

et al. 2008

Journal of Ultrasound

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Vesiculodeferentography was used in the past to evaluate suspected cases of obstruction of the seminal ducts. Over the years, numerous attempts have been made to improve the technique used to perform this examination and to render it less invasive. Its use is currently indicated in selected cases, where it is combined with functional studies like seminal tract washout and followed by immediate interventions to correct the alterations revealed. Vesiculodeferentography includes collection of the contents of the seminal vesicles, which can later be used in vitro assisted fertilization procedures.Sommario La vesciculodeferentografia, esame utilizzato in passato nei casi di sospette ostruzioni delle vie seminali, è stato negli anni oggetto di numerosi studi allo scopo di migliorarne la tecnica di esecuzione e renderla meno invasiva. Attualmente è indicata solo in casi selezionati, in associazione a un'indagine funzionale quale il Seminal Tract Washout e prevedendo un contemporaneo e o in via subordinata, successivo e atto terapeutico.Ovviamente, peraltro, la procedura e ipso facto e prevede il prelievo di materiale dalla seminale e ciò può consentire una successiva procedura di fecondazione assistita in vitro. ª

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Etiologic Factors in 1294 Consecutive Cases of Male Infertility

Cited by 528 publications

References 12 publications

Low Plasma Testosterone in Varicocele Patients With Impotence and Male Infertility

Low Plasma Testosterone in Varicocele Patients With Impotence and Male Infertility

Minimal invasiveness and effectivity of subinguinal microscopic varicocelectomy: a comparative study with retroperitoneal high and laparoscopic approaches

Percutaneous vesiculodeferentography in the diagnosis of male infertility: A review of our results and the data reported in the literature

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