Kupis Łukasz, Dobroński Piotr Artur, Radziszewski Piotr
Warsaw Medical University, Department of Urology, Poland.
Cent European J Urol. 2015;68(3):365-70. doi: 10.5173/ceju.2015.642. Epub 2015 Oct 15.
To establish the extent of varicocele as the cause of infertility in men and compare the various techniques of treatment. We searched PubMed and the Cochrane Library database using varicocele, male infertility, varicocelectomy as keywords. Varicocele seems to be a growing problem considered to be one of the most common causes of male infertility in recent times. Nevertheless, its role remains unclear. The best treatment option seems to be microscopic surgery - the most effective and linked to rare surgical complications. But the greatest clinical problem remains the selection of patients to treat - recently it is believed that varicocelectomy is a possibly advisable option in patients with clinical varicocele and seminal parameter impairment [1]. More high-quality, multicenter, long-term randomized controlled trials (RCT's) are required to verify the findings.
确定精索静脉曲张作为男性不育原因的程度，并比较各种治疗技术。我们使用精索静脉曲张、男性不育、精索静脉结扎术作为关键词在PubMed和Cochrane图书馆数据库中进行了检索。精索静脉曲张似乎是一个日益严重的问题，被认为是近年来男性不育最常见的原因之一。然而，其作用仍不明确。最佳治疗选择似乎是显微手术——最有效且与罕见的手术并发症相关。但最大的临床问题仍然是患者的选择——最近有人认为，对于有临床精索静脉曲张和精液参数受损的患者，精索静脉结扎术可能是一个可取的选择[1]。需要更多高质量、多中心、长期的随机对照试验（RCT）来验证这些发现。
