Gentile D P, Cockett A T
Department of Urology, University of Rochester Medical Center, New York 14642.
Fertil Steril. 1992 Jul;58(1):209-11. doi: 10.1016/s0015-0282(16)55165-6.
The presence of a varicocele has been associated with reduced testicular volumes both in the adult and pediatric patient populations. An increase in testicular volume after varicocelectomy, however, has been documented only in the latter group and then only in the ipsilateral testicle. We present our experience with 89 infertile male patients with varicoceles who underwent operative repair. An increase in testicular volume was observed in 72 of the 89 patients, with the right side showing a greater increase, regardless of whether bilateral or unilateral left varicoceles were present preoperatively. No greater increase in testicular volume was noted among the patients who went on to achieve a pregnancy with their spouses. In addition, the age of the patient did not influence the observed change in testicular volume. No correlation between varicocele grade and pregnancy nor between improvement in semen parameters and improvement in testicular volume could be demonstrated.
精索静脉曲张的存在与成年和儿科患者群体的睾丸体积减小有关。然而，精索静脉结扎术后睾丸体积增加的情况仅在后者群体中得到记录，且仅在同侧睾丸中出现。我们介绍了89例接受手术修复的精索静脉曲张不育男性患者的经验。89例患者中有72例观察到睾丸体积增加，右侧增加更为明显，无论术前是双侧还是单侧左侧精索静脉曲张。在与配偶成功受孕的患者中，未观察到睾丸体积有更大增加。此外，患者年龄并未影响观察到的睾丸体积变化。未发现精索静脉曲张分级与妊娠之间、精液参数改善与睾丸体积改善之间存在相关性。
