Kavoussi Parviz K, Gupta Chirag, Shah Rupin
Department of Reproductive Urology, Austin Fertility and Reproductive Medicine/Westlake IVF, Austin, TX 78746, USA.
Department of Urology, Matratva Fertility and Andrology Clinic, Jaipur National University, Jaipur, Rajasthan 302017, India.
Asian J Androl. 2025 May 1;27(3):355-360. doi: 10.4103/aja202444. Epub 2024 Aug 6.
Approximately 15% of men in the general population have varicoceles, and varicoceles are diagnosed in 40% of men presenting for fertility evaluations. One percent of men in the general population are azoospermic, and 15% of men presenting for fertility evaluations are diagnosed with azoospermia. This article aims to review the impact of varicoceles on testicular function in men with azoospermia, the impact of varicocele repair on the semen parameters of azoospermic men, and the impact of varicocele repair on sperm retrieval and pregnancy outcomes when the male partner remains azoospermic after varicocele repair.
普通人群中约15%的男性患有精索静脉曲张,在因生育问题进行评估的男性中,40%被诊断为精索静脉曲张。普通人群中1%的男性无精子症,因生育问题进行评估的男性中15%被诊断为无精子症。本文旨在综述精索静脉曲张对无精子症男性睾丸功能的影响、精索静脉曲张修复对无精子症男性精液参数的影响,以及精索静脉曲张修复后男性伴侣仍为无精子症时,精索静脉曲张修复对精子获取和妊娠结局的影响。