[Treatment of varicoceles].
The mechanisms of infertility in varicoceles are still ill-defined; their repercussions are variable and unrelated to the degree of venous dilatations (a good number of such patients have no fertility problems). Oligo-astheno-teratospermia is a non-pathognomonic entity, also encountered in chronic infections, previous history of cryptorchidism, gonadotrophic insufficiencies and toxic of iatrogenic causes. Should varicoceles be operated on, in order to treat the oligo-astheno-teratospermia? After strongly advocating surgery in the 60's, this approach is, in retrospect, being questioned. Varicoceles affect a very heterogeneous population with various degrees of infertility. To answer this question, randomized studies based on strict criteria, should be undertaken.
Sachot
J L
JL
Clinique de la Sagesse, Rennes.
Ratajczak
A
A
D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000601:surgery; D008026:Ligation; D008297:Male; D013076:Sperm Count; D013081:Sperm Motility; D014646:Varicocele / Q000150:complications / Q000601:surgery*
Traitement des varicocèles.