Marmar Joel L
Director of Men's Health Services, Planned Parenthood of Southern New Jersey, 317 S. Broadway, Camden, NJ 08103, USA.
Asian J Androl. 2016 Mar-Apr;18(2):171-8. doi: 10.4103/1008-682X.170866.
Varicoceles had been recognized in clinical practice for over a century. Originally, these procedures were utilized for the management of pain but, since 1952, the repairs had been mostly for the treatment of male infertility. However, the diagnosis and treatment of varicoceles were controversial, because the pathophysiology was not clear, the entry criteria of the studies varied among centers, and there were few randomized clinical trials. Nevertheless, clinicians continued developing techniques for the correction of varicoceles, basic scientists continued investigations on the pathophysiology of varicoceles, and new outcome data from prospective randomized trials have appeared in the world's literature. Therefore, this special edition of the Asian Journal of Andrology was proposed to report much of the new information related to varicoceles and, as a specific part of this project, the present article was developed as a comprehensive review of the evolution and refinements of the corrective procedures.
精索静脉曲张在临床实践中已被认识超过一个世纪。最初，这些手术用于治疗疼痛，但自1952年以来，修复手术主要用于治疗男性不育症。然而，精索静脉曲张的诊断和治疗存在争议，因为其病理生理学尚不清楚，各中心研究的纳入标准不同，且几乎没有随机临床试验。尽管如此，临床医生仍在不断开发精索静脉曲张矫正技术，基础科学家也在继续对精索静脉曲张的病理生理学进行研究，前瞻性随机试验的新结果数据也已出现在世界文献中。因此，提议出版《亚洲男科学杂志》的这一特刊，以报道与精索静脉曲张相关的许多新信息，作为该项目的一个具体部分，本文旨在对矫正手术的演变和改进进行全面综述。
