White Joshua, Cartaya Sofia, Black Kristian, Ledesma Braian, Arbelaez Maria Camila Suarez, Muthigi Akhil, Ramasamy Ranjith
University of Miami Miller School of Medicine, Urology, Miami, FL, USA.
University of South Florida, Undergraduate Education, Tampa Bay, FL, USA.
Int J Impot Res. 2024 May;36(3):177-180. doi: 10.1038/s41443-023-00696-3. Epub 2023 Apr 17.
Varicoceles are a common condition affecting up to 15% of men in the general population, and up to 40% of men with infertility. A varicocele is an abnormal dilation of the veins within the scrotum, which can lead to reduced sperm production and testicular damage, resulting in infertility. Despite the prevalence of varicoceles, much remains to be discovered about their diagnosis, treatment, and long-term impact. Varicoceles are considered the 'holy grail' of Andrology because they represent a complex, multifactorial condition that requires a comprehensive approach to diagnosis and treatment. While surgical repair of varicoceles has been shown to improve fertility outcomes in some cases, there is still debate about the best approach to diagnosis and treatment, and long-term outcomes are not well understood. Advances in diagnostic imaging, such as color Doppler ultrasound, have improved our ability to identify varicoceles, but more research is needed to fully understand the impact of this condition on male fertility and overall health. As such, varicoceles represent an ongoing area of investigation in Andrology with much progress to be made in terms of diagnosis, treatment, and long-term impact.
精索静脉曲张是一种常见病症，在普通人群中影响高达15%的男性，在不育男性中影响高达40%。精索静脉曲张是阴囊内静脉的异常扩张，可导致精子生成减少和睾丸损伤，从而导致不育。尽管精索静脉曲张很常见，但关于其诊断、治疗和长期影响仍有许多有待发现之处。精索静脉曲张被认为是男科学的“圣杯”，因为它们代表一种复杂的多因素病症，需要采用综合方法进行诊断和治疗。虽然精索静脉曲张的手术修复在某些情况下已被证明可改善生育结果，但关于最佳诊断和治疗方法仍存在争议，而且长期结果尚未得到充分了解。诊断成像技术的进步，如彩色多普勒超声，提高了我们识别精索静脉曲张的能力，但仍需要更多研究来全面了解这种病症对男性生育能力和整体健康的影响。因此，精索静脉曲张是男科学中一个持续的研究领域，在诊断、治疗和长期影响方面还有很大的进展空间。
