Basile Fasolo C, Canale D, Marino P, Izzo P L, Gori G, Voliani S, Servadio L, Menchini Fabris G F
Ital J Surg Sci. 1984;14(1):71-3.
Data of 146 infertile men undergoing surgical treatment for varicocele are reported. Patients with the following features were treated by surgery: normal FSH (follicle-stimulating hormone) not severe hypotrophy of the left testis and normal right testis; absence of azoospermia; absence of autosome or sex chromosome alterations; absence of signs of genital inflammation. A clear-cut improvement in the condition of seminal secretion was obtained both in oligospermic patients with less than 10 millions spermatozoa per ml preoperatively, and in patients with a higher number of spermatozoa. Particularly, a marked improvement in the valid motility and morphology of spermatozoa was observed. The biological index of a successful treatment in correcting infertility is represented by the high number (51) of successful pregnancies in the wives of operated patients. It is to be underlined that measurements of spermatic vein pressure, phlebography and intraoperative cineradioscopy completely avoid recurrence that otherwise affects about 5 to 6% of operated patients.
报告了146名接受精索静脉曲张手术治疗的不育男性的数据。具有以下特征的患者接受了手术治疗：促卵泡生成素（FSH）正常，左侧睾丸无严重萎缩且右侧睾丸正常；无无精子症；无常染色体或性染色体改变；无生殖器炎症迹象。术前每毫升精液中精子少于1000万个的少精子症患者以及精子数量较多的患者，精液分泌状况均有明显改善。特别是，观察到精子的有效活力和形态有显著改善。手术患者妻子成功怀孕的高数量（51例）代表了纠正不育症成功治疗的生物学指标。需要强调的是，精索静脉压力测量、静脉造影和术中荧光透视完全避免了复发，否则约5%至6%的手术患者会受到影响。
