Weissbach L, Gleissner J, Gleissner O, Buszello H
Dtsch Med Wochenschr. 1983 Jan 7;108(1):17-21. doi: 10.1055/s-2008-1069493.
Varicoceles were encountered in 21.9% of 2752 men at draft and in 16% of 818 sanatorium patients. There was no decreasing incidence in the latter with increasing age. Fathers were encountered almost equally frequently among men with varicoceles as in men without varicoceles. Varicocelectomy seems to be indicated only when further children are wanted, when abnormalities of the spermiogram are present or testicular abnormalities can be detected on palpation. The validity of preventive removal of varicoceles in adults needs to be ascertained in a randomised and prospective study with concomitant registration of pregnancy rate and spermiograms.
在2752名征兵男性中，21.9%发现有精索静脉曲张；在818名疗养院患者中，16%发现有精索静脉曲张。在后者中，发病率并未随年龄增长而降低。精索静脉曲张患者和无精索静脉曲张患者的父亲出现频率几乎相同。精索静脉切除术似乎仅在想要更多孩子、精液检查有异常或触诊可检测到睾丸异常时才适用。成人预防性切除精索静脉曲张的有效性需要通过一项随机前瞻性研究来确定，并同时记录妊娠率和精液检查结果。
