Gattuccio F, D'Alia O, Pirronello S, Di Trapani D, Romano C, Latteri M A, Amodeo G, Alaimo R, Chiodi M
Centro per la diagnosi precoce e la Terapia del Varicocele dell'Università di Palermo.
Acta Eur Fertil. 1988 Jul-Aug;19(4):189-99.
The interest for varicocele in the determination of male infertility has increased during the last decades. Most researchers consider varicocele as the primary cause of male infertility, but recently another group of authors give it a secondary role in the alteration of spermatogenesis. We think that the major part of the controversy depends on an absence of a systematic approach to the problem. We give a primary importance to an accurate epidemiological evaluation which consists in a transversal and longitudinal survey of male subjects in puberal age. Our data show that left varicocele is practically inexsistent before the onset of puberty; the percentage incidence of this alteration increases progressively with puberal maturity and the tends to decrease slightly when maturity is complete. By correlating this pathology with puberty we can obtain more precise informations than when it is correlated to the regestrated age. The young patients who result suffering from varicocele, must be controlled carefully and periodically for the evaluation of the period and the opportunity of a therapeutic treatment.
在过去几十年里，精索静脉曲张在男性不育症判定中的受关注度有所增加。大多数研究人员认为精索静脉曲张是男性不育的主要原因，但最近另一组作者认为它在精子发生改变中起次要作用。我们认为，争议的主要部分在于缺乏对该问题的系统研究方法。我们高度重视准确的流行病学评估，这包括对青春期男性受试者进行横向和纵向调查。我们的数据表明，左侧精索静脉曲张在青春期开始前实际上并不存在；这种病变的发生率随着青春期成熟而逐渐增加，在青春期完全成熟时趋于略有下降。通过将这种病理情况与青春期相关联，我们能够获得比将其与登记年龄相关联时更精确的信息。患有精索静脉曲张的年轻患者必须接受仔细且定期的检查，以评估治疗的时机和时期。
