Mehan D J
Fertil Steril. 1976 Jan;27(1):110-4. doi: 10.1016/s0015-0282(16)41603-1.
Ten azoospermic men treated by ligation of the internal spermatic vein are reported. Treatment of two of the ten resulted in pregnancies. The advisability of thorough evaluation of the azoospermic patient is well demonstrated by the finding of one patient with Klinefelter's syndrome. In our judgement, based on this small series, azoospermia should not be considered a contraindication to surgery. Complete evaluation of the azoospermia is essential. Indeed, the varicoceles seen in patients 9 and 10 were an incidental finding and in all likelihood played no role in the azoospermia.
报告了10例接受精索内静脉结扎术治疗的无精子症男性。10例中有2例治疗后成功受孕。1例患有克兰费尔特综合征患者的发现充分证明了对无精子症患者进行全面评估的必要性。根据这个小样本系列，我们判断，无精子症不应被视为手术禁忌证。对无精子症进行全面评估至关重要。实际上，第9例和第10例患者中发现的精索静脉曲张是偶然发现，很可能与无精子症无关。
