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When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction?
In the past, the indications for varicocelectomy are primarily for infertility with abnormal semen parameters, testicular hypotrophy/atrophy in adolescents, and/or pain. The surgical treatment of varicocele for hypogonadism is controversial and debated. Recently, multiple reports in the literature h...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770488/ https://www.ncbi.nlm.nih.gov/pubmed/26696437 http://dx.doi.org/10.4103/1008-682X.169560 |
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author | Dabaja, Ali A Goldstein, Marc |
author_facet | Dabaja, Ali A Goldstein, Marc |
author_sort | Dabaja, Ali A |
collection | PubMed |
description | In the past, the indications for varicocelectomy are primarily for infertility with abnormal semen parameters, testicular hypotrophy/atrophy in adolescents, and/or pain. The surgical treatment of varicocele for hypogonadism is controversial and debated. Recently, multiple reports in the literature have suggested that varicocele is associated with hypogonadism and varicocele repair can increase testosterone levels. Men with hypogonadal symptoms should have at least two serum testosterone levels. Microsurgical varicocelectomy may be beneficial for men with clinically palpable varicoceles with documented hypogonadism. In this review, we summarize the most recent literature linking varicocele to hypogonadism and sexual dysfunction and the impact of repair on serum testosterone levels. We performed a search of the published English literature. The key words used were “varicocele and hypogonadism” and “varicocele surgery and testosterone.” We included published studies after 1998. We, also, evaluated the effect of surgery on the changes in the serum testosterone level regardless of the indication for the varicocele repair. |
format | Online Article Text |
id | pubmed-4770488 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47704882016-03-09 When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? Dabaja, Ali A Goldstein, Marc Asian J Androl Invited Review In the past, the indications for varicocelectomy are primarily for infertility with abnormal semen parameters, testicular hypotrophy/atrophy in adolescents, and/or pain. The surgical treatment of varicocele for hypogonadism is controversial and debated. Recently, multiple reports in the literature have suggested that varicocele is associated with hypogonadism and varicocele repair can increase testosterone levels. Men with hypogonadal symptoms should have at least two serum testosterone levels. Microsurgical varicocelectomy may be beneficial for men with clinically palpable varicoceles with documented hypogonadism. In this review, we summarize the most recent literature linking varicocele to hypogonadism and sexual dysfunction and the impact of repair on serum testosterone levels. We performed a search of the published English literature. The key words used were “varicocele and hypogonadism” and “varicocele surgery and testosterone.” We included published studies after 1998. We, also, evaluated the effect of surgery on the changes in the serum testosterone level regardless of the indication for the varicocele repair. Medknow Publications & Media Pvt Ltd 2016 2015-12-18 /pmc/articles/PMC4770488/ /pubmed/26696437 http://dx.doi.org/10.4103/1008-682X.169560 Text en Copyright: © 2016 Asian Journal of Andrology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Invited Review Dabaja, Ali A Goldstein, Marc When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
title | When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
title_full | When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
title_fullStr | When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
title_full_unstemmed | When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
title_short | When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
title_sort | when is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction? |
topic | Invited Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770488/ https://www.ncbi.nlm.nih.gov/pubmed/26696437 http://dx.doi.org/10.4103/1008-682X.169560 |
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