精索静脉曲张与男性不育难题：为忙碌的临床医生解读这个永无休止的故事。
Varicocele and male infertility conundrum: Making sense of a never-ending story for the busy clinician.
作者信息
Kavoussi Parviz, Birowo Ponco, Saleh Ramadan, Shah Rupin, Agarwal Ashok
机构信息
Department of Reproductive Urology, Austin Fertility & Reproductive Medicine/Westlake IVF, Austin, TX, USA.
Global Andrology Forum, OH, USA.
出版信息
Arab J Urol. 2024 Jan 8;22(1):1-5. doi: 10.1080/20905998.2023.2291628. eCollection 2024.
BACKGROUND
Varicocele is a common occurrence, particularly among men with primary and secondary infertility. There has been extensive research into the management of varicocele in the context of male infertility.
METHODS
This article aims to explore the variations in clinical practice in diagnosing and managing varicoceles in infertile men. A summary of the current recommendations on varicocele management from professional societies is included.
RESULTS
Substantial gaps in knowledge persist regarding varicoceles and male infertility, with significant variation in clinical approaches, despite the wealth of existing data in the medical literature.
CONCLUSION
The existing literature leaves many questions surrounding varicocele management in infertile men unanswered. This lack of clarity contributes to the ongoing controversy among clinicians in the field. New research is essential to address these contentious points and areas of debate.
背景
精索静脉曲张很常见，尤其是在原发性和继发性不育男性中。针对男性不育背景下精索静脉曲张的治疗已开展了广泛研究。
方法
本文旨在探讨不育男性精索静脉曲张诊断和治疗临床实践中的差异。文中还纳入了专业学会目前关于精索静脉曲张治疗的建议总结。
结果
尽管医学文献中有大量现有数据，但关于精索静脉曲张和男性不育仍存在重大知识空白，临床方法差异很大。
结论
现有文献留下了许多关于不育男性精索静脉曲张治疗的问题未得到解答。这种不明确导致了该领域临床医生之间持续的争议。新的研究对于解决这些有争议的问题和辩论领域至关重要。
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