ADOLESCENT VARICOCELE AND ITS TREATMENT

Yıl 2002, Cilt: 15 Sayı: 2, 122 - 128, 03.12.2016

Sinan Ekici Çelik Taşar

Öz

etiology of infertility, causes testicular atrophy, abnormalities in sperm morphology and function. There is no uniformly accepted etiologic theory. It is usually diagnosed by physical examination. However, there is no available practical diagnostic method with high sensitivity and specificity. In this study, the issue of varicocele in an adolescent age group, a speciality in itself, is reviewed in addition to contemporary approach to varicocele pathology, diagnosis and treatment methods.
Key Words: Varicocele, Infertility, Treatment

Kaynakça

• Lipshultz LI, Greenberg SL1. Varicocele and
• male subiertility. In: Sclarra JJ, ed.
• Gynecology and Obstetrics, vol 5. Hagerstown: Harper and Row, 1981:1 -9.
• Skakkeback HE, Giwercman A, de Kretser D. Pathogenesis and management of male Infertility. Lancet 1994; 343:14 73-1479.
• Shafik A, Bedelr GA. Venous tension patterns in cord veins. I. In normal and varicocele individuals. J Urol 1980; 123: 383-385.
• Coolsaet BL. The varicocele syndrome: Venography determining the optimal level for surgical management. J Urol 1980; 124: 833- 839.
• Simsek E, Turkeri L, Çevik I, et al. Role of apoptosis in testicular tissue damage caused by varicocele. Arch Esp Urol 1998; 51: 947- 950.
• Sigman M, Jarow JP. Ipsilateral testicular hypotrophy is associated with decreased sperm counts in infertile men with varicoceles. J Urol 1997; 158: 605-607.
• Cayan S, Kadi oglu A, Orhan I, et al. The effect of microsurgical varicocelectomy on serum follicle stimulating hormone, testosterone and free testosterone levels in infertile men with varicocele. BJU Int 1999 ; 84:1046-1049.
• Taşar Ç, Akdaş A. Varikoselli infertil hastalarda sol sperm atik ven ligasyonu sonuçları. Fertilité ve Infertilité Derneği Bülteni 1982; 5: 1-2.
• Taşar Ç, Remzi D, Uysal Z. Kliniğimizde takip edilen 1500 infertilité vakası. Türk Üroloji Dergisi 1986; 12: 375-380.
• Taşar Ç, Gürpınar T, Remzi D. Kliniğimizde takip edilen infertil hastalarda yapılan 500 varikoselektomi sonuçları. Türk Üroloji Dergisi 1986; 12: 421-426.
• Lund L, Larsen SB. /I follow-up study of semen quality and fertility in men with varicocele testis and in control subjects. Br J Urol 1998; 82: 682-686.
• Pryor JL, Howards SS. Varicocele. Urol Clin
• Horth Am 1987; 14: 499-......
• Nad gar I, Lunenfeld B, Weissenberg R, et af Controlled trial of high spermatic vein ligation for varicocele in infertile men. J Urol 1991; 45: I 15A.
• Ashkenazi J, Dicker D, Feld berg D, et al. The impact of spermatic vein ligation on the male factor in in vitro fertilization-embryo transfer and its relation to testosterone levels before and after operation. Fertil Steril 1989; 51: 471-474.
• Turner TT. Varicocele: Still an enigma. J Urol 1983; 129: 695-699.
• Rodriquez-Rigau LJ, Smith K, Steinberger E. Varicocele and the morphology of spermatozoa. Fertil Steril 1981 ; 35:54-57.
• Ergen A, Taşar Ç, Akalın P, ve ark.: İnfertiUtede serotoninin etkisi. Fertilité ve infertilité Derneği Bülteni 1984; 7: 10-11.
• Nieusset R, Bujan L, Nondinat G, et al. Association of scrotal hyperthermia with impaired spermatogenesis in infertile men. Fertil Steril 1987; 48: 1006-1011.
• Lerchl A, Keck J, Spiteri-Grech J. et al. Diurnal variations in scrotal temperature of normal
• Sinan Ekici, Çelik. Taşar
• and patients with varicocele before and after treatment. Int J Androl 1993; 16: 195-200.
• Tefekli A, Cayan S, Uluocak hi, et al. Is selective internal spermatic venography necessary in detecting recurrent varicocele after surgical repair? Eur Urol 2001; 40: 404- 408.
• Hamm B, Fob be E, Sorensen R, et al.
• Varicoceles: Combined sonography and
• thermography in diagnosis and post- therapeutic evaluation. Radioloqy 1986,160: 419-424.
• Yarborough MA, Burns JR, Reller FS. Incidence and clinical significance of subclinical scrotal varicoceles. J Urol 1989; 141:1372-1374.
• Kass EJ, Freitas JE, Bour JB. Adolescent
• varicocele: Objective indications for
• treatment. J Urol 1989; 142: 579-582.
• Kass EJ, Freitas JE, Salisz JA, et al. Pituitary gonadal dysfunction in adolescents with varicocele. Urology 1993; 42: 179-181.
• Barqawi A, Furness P 3rd, Koyle M. Laparoscopic Palomo varicocelectomy in the adolescent is safe after previous ipsilateral inguinal surgery. BJU Int 2002; 89:269-2 72.
• Atassi O, Kass EJ. Testicular growth following successful varicocele correction in adolescents: Comparison of artery sparing techniques with the Palomo procedure. J Urol 1994; 151: 188A.
• Wright J, Goldstein M. Ligation of the testicular artery during microsurgical varicocelectomy: Incidence and implications. J Urol 1994, 151: 141 A.
• Hirokawa M, Matsushita K, Iwamoto T, et al. Assessment of Palomo's operative method for infertile varicocele. Andrologia 1993; 25: 47- 51.
• Jarow JP, Assimos DG, Pittaway DE. Effectiveness of laparoscopic varicocelectomy. Urology 1993; 42: 544-547.