Kantartzi P D, Goulis Ch D, Goulis G D, Papadimas I
Unit of Reproductive Endocrinology, First Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
Hippokratia. 2007 Jul;11(3):99-104.
Varicocele is among the most common causes of male infertility. It is also one of the most controversial issues in the field of Andrology, especially regarding why, when and to whom varicocelectomy should be applied. Many experts believe that the surgical repair of varicocele should be applied only in a meticulously selected group of infertile men, although there are no generally accepted criteria. Up to now, the only confirmed prognostic factor for achievement of pregnancy after varicocelectomy is the age of the female partner. Given the wide application of intra-cytoplasmic sperm injection (ICSI) during the last few years, the modern research approaches should compare the benefits of varicocelectomy and ICSI, taking under consideration both the efficacy and the cost-effectiveness of the methods.
精索静脉曲张是男性不育最常见的病因之一。它也是男科学领域最具争议的问题之一，尤其是在精索静脉曲张切除术为何时、对何人应用方面。许多专家认为，精索静脉曲张的手术修复仅应应用于精心挑选的不育男性群体，尽管尚无普遍接受的标准。到目前为止，精索静脉曲张切除术后实现妊娠的唯一已证实的预后因素是女性伴侣的年龄。鉴于过去几年卵胞浆内单精子注射（ICSI）的广泛应用，现代研究方法应在考虑方法的有效性和成本效益的同时，比较精索静脉曲张切除术和ICSI的益处。
