Sayfan J, Soffer Y, Manor H, Witz E, Orda R
Department of Surgery A, Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Zerifin, Israel.
Ann Surg. 1988 Feb;207(2):223-7. doi: 10.1097/00000658-198802000-00019.
The need for treatment of asymptomatic varicocele in youth is controversial. In the current study testicular volume and seminal variables were evaluated in three groups: young varicocele patients with undetermined fertility potential, infertile varicocele patients, and a control group of young males. The testicular volume was determined by ultrasonographic measurements. The results revealed a significant loss of "testicular mass" in both varicocele groups compared with the control group. The seminal findings disclosed a severe disturbance of spermatogenesis in the older varicocele group, whereas in the younger varicocele patients only the total spermatic count was significantly depressed. This difference in severity of functional impairment between the younger and older varicocele groups possibly points towards progressiveness of damage to the testicles. A more decisive therapeutic approach to the young male with asymptomatic varicocele and unknown fertility status could be justified.
青少年无症状精索静脉曲张的治疗需求存在争议。在本研究中，对三组人群的睾丸体积和精液变量进行了评估：生育潜力未明的年轻精索静脉曲张患者、不育的精索静脉曲张患者以及年轻男性对照组。通过超声测量确定睾丸体积。结果显示，与对照组相比，两个精索静脉曲张组的“睾丸质量”均显著下降。精液检查结果表明，年龄较大的精索静脉曲张组精子发生严重紊乱，而在较年轻的精索静脉曲张患者中，仅精子总数显著降低。年轻和年长精索静脉曲张组在功能损害严重程度上的这种差异可能表明睾丸损伤具有渐进性。对于生育状况不明的无症状精索静脉曲张年轻男性，采取更果断的治疗方法可能是合理的。
