土耳其健康年轻男性中的精索静脉曲张；患病率与体重指数的关系。
Varicocele among healthy young men in Turkey; prevalence and relationship with body mass index.
机构信息
Dicle University, Medical Faculty, Department of Urology, Turkey.
出版信息
Int Braz J Urol. 2012 Jan-Feb;38(1):116-21. doi: 10.1590/s1677-55382012000100016.
AIM
Varicocele is characterized by abnormal tortuosity and dilatation of the veins of the pampiniform plexus within the spermatic cord and is one of the causes related to male infertility. This study aimed to investigate the correlation between varicocele and somatometric parameters. We also aimed to determine prevalence and treatment ratio of this disorder among healthy young Turkish men.
MATERIALS AND METHODS
A total of 2061 young men aged from 19 to 34 years was enrolled and cross sectionally evaluated for status of varicocele. Body mass index was calculated. Patients were categorized as normal weight, overweight and obese using by National Institutes of Health criteria. Patients underwent physical examinations for the presence and grade of varicocele. If the varicocele was found and previously submitted to different treatment modalities, the age of treatment and outcomes were recorded.
RESULTS
Varicocele was present in 498 men (24.2%). The mean age of the participants was 22.7 ± 1.8 years, and the median BMI was 22.8 ± 2.0 kg/m². There were no significant differences in age, height, weight and BMI among the patients with different grades of varicocele (p > 0.05). Although no significant difference was found in varicocele prevalence between normal weight and over-weight participants (p > 0.05), obese participants had significantly lower varicocele prevalence compared with normal or over weight participants (p = 0.006). A total of 49 men had scrotal pain and the treatment ratio was only 2.8%.
CONCLUSION
Prevalence of varicocele was found in about 24% of healthy young Turkish population. Participants with varicocele had significantly lower BMI values compared with those without varicocele. Our findings supported the hypothesis that individuals with a greater BMI may have advantages in relieving the varicocele, but further studies are required to clarify this issue. Additionally treatment ratio was low among young men with varicocele.
目的
精索静脉曲张的特征是精索内蔓状静脉丛的异常扭曲和扩张，是与男性不育相关的原因之一。本研究旨在探讨精索静脉曲张与人体测量参数之间的相关性。我们还旨在确定精索静脉曲张在健康的年轻土耳其男性中的流行程度和治疗比例。
材料和方法
共纳入 2061 名年龄在 19 至 34 岁的年轻男性，并对精索静脉曲张的状况进行了横断面评估。计算体重指数。根据美国国立卫生研究院的标准，将患者分为正常体重、超重和肥胖。对患者进行体格检查，以确定精索静脉曲张的存在和严重程度。如果发现精索静脉曲张并已接受过不同的治疗方法，则记录治疗年龄和结果。
结果
498 名男性（24.2%）存在精索静脉曲张。参与者的平均年龄为 22.7 ± 1.8 岁，中位数 BMI 为 22.8 ± 2.0 kg/m²。不同精索静脉曲张程度的患者年龄、身高、体重和 BMI 无显著差异（p > 0.05）。虽然正常体重和超重参与者之间精索静脉曲张的患病率无显著差异（p > 0.05），但与正常体重或超重参与者相比，肥胖参与者的精索静脉曲张患病率显著降低（p = 0.006）。共有 49 名男性出现阴囊疼痛，治疗比例仅为 2.8%。
结论
在健康的年轻土耳其人群中，精索静脉曲张的患病率约为 24%。患有精索静脉曲张的参与者的 BMI 值明显低于无精索静脉曲张的参与者。我们的研究结果支持这样一种假设，即 BMI 较高的个体可能在缓解精索静脉曲张方面具有优势，但需要进一步的研究来阐明这个问题。此外，患有精索静脉曲张的年轻男性的治疗比例较低。
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