Kim Dae Keun, Kim Dong Soo, Kam Sung Chul, Lee Hyo Serk, Lee Won Ki, Song Seung-Hun
Department of Urology, CHA Fertility Center Seoul Station, CHA University School of Medicine, Seoul, Korea.
Department of Urology, Kyung Hee University College of Medicine, Seoul, Korea.
World J Mens Health. 2025 Oct;43(4):748-757. doi: 10.5534/wjmh.240290. Epub 2025 Feb 25.
Varicocele is a common urological disease and varicocele has long been recognized as a condition that could affect male fertility. Although varicocele is the most common surgically correctable cause of male infertility, not all varicoceles require treatment. Because the appropriate diagnosis and management of varicoceles remain less clear in many patients, it is important to diagnose clinically significant varicoceles that can benefit from treatment. Even in the era of widespread assisted reproductive techniques, varicocele has substantial implications in infertility treatment. The Korean Society for Sexual Medicine and Andrology (KSSMA) has sought to develop guidelines for varicocele treatment tailored to clinical practices in Korea. This review summarizes the latest evidence for varicocele treatment, including clinical practice guidelines from various international professional societies, and represents the consensus opinion of experts within the KSSMA.
精索静脉曲张是一种常见的泌尿系统疾病,长期以来一直被认为是一种可能影响男性生育能力的病症。尽管精索静脉曲张是男性不育最常见的可通过手术纠正的原因,但并非所有精索静脉曲张都需要治疗。由于在许多患者中,精索静脉曲张的正确诊断和管理仍不太明确,因此诊断出可从治疗中获益的具有临床意义的精索静脉曲张很重要。即使在辅助生殖技术广泛应用的时代,精索静脉曲张在不育治疗中仍具有重大影响。韩国性医学与男科学会(KSSMA)已致力于制定适合韩国临床实践的精索静脉曲张治疗指南。本综述总结了精索静脉曲张治疗的最新证据,包括来自各种国际专业学会的临床实践指南,并代表了KSSMA专家的共识意见。