title: [Methods of diagnosis and treatment of idiopathic varicocele in Germany, Austria and Switzerland (author's transl)].
abstract: Replies from 115 urological departments, which were part of a general inquiry within Germany, Austria and Switzerland, were evaluated. 37% of all departments perform a varicocelectomy already after the 6th year of age, 68% after 10 years of age. A preoperative phlebography is performed regularly only by 8%, but the phlebography prior to recurrent surgery is carried out by 72%. The most frequent operative method is the Bernardi technique in 39%, the method of Palomo, ligation superior to the internal inguinal ring and lumbal ligation of the spermatic vein are used equally often. The additional dissection of accompanying veins at the level of internal inguinal ring was reported only by 24%. A postoperative inspection with palpation control is regularly performed by 85%, with semen analysis in 58%. No department reported, postoperative results with sperm analysis for more than one year.
mesh_terms: D000293:Adolescent; D000328:Adult; D001317:Austria; D002648:Child; D002675:Child, Preschool; D005858:Germany; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010690:Phlebography; D013076:Sperm Count; D013557:Switzerland; D014646:Varicocele / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Methoden der Diagnostik und Therapie bei idiopathischer Varikozele im deutschsprachigen Raum.