Microsurgical varicocele ligation: surgical methodology and associated outcomes

Microsurgical varicocelectomy is the criterion standard for varicocele repair. This article outlines the step- wise surgical approaches and highlights clinical studies that demonstrate improved semen parameters and reproductive outcomes.

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Volume 111, Issue 3, Pages 415–419

Authors:

Rodrigo L. Pagani, M.D., Samuel J. Ohlander, M.D., Craig S. Niederberger, M.D.

Abstract:

The impact of clinical varicoceles on semen parameters and male infertility has long been established. In the era of assisted reproduction, clinical discussion has questioned the role of varicocelectomy, offering the potential to bypass, rather than treat, varicocele-associated male infertility. However, current literature supports improved semen parameters and reproductive outcomes following repair. This article presents the stepwise operative approaches to microsurgical varicocelectomy and discusses the recent publications on outcomes.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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