Abstract:Varicocele is one of the most common benign diseases in young men which induced male infertility. At present, minimally invasive surgery is the most effective treatment and widely acknowledged by clinicians. However, there are still many controversies about choice of indications and surgical methods. In this review, we aim to summarize the issues currently associated with varicocele treatment by using minimally invasive surgery.
张帆, 王瀚锋, 孙圣坤, 张旭. 精索静脉曲张微创治疗的现状及进展[J]. 微创泌尿外科杂志, 2022, 11(6): 414-419.
Zhang Fan, Wang Hanfeng, Sun Shengkun, Zhang Xu. Current status and progress of minimally invasive treatment for varicocele. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(6): 414-419.
[1] Sasson DC, Kashanian JA. Varicoceles[J]. JAMA 2020, 323(21): 2210. [2] 武斌, 李建华. 西安周边部队年轻官兵精索静脉曲张发病情况调查[J]. 现代预防医学, 2014, 41(13): 2330-2331+2358. [3] 高琳, 李传贵, 高奎, 靳凤烁. 陆军特战某部官兵精索静脉曲张发病情况分析[J]. 临床军医杂志 2019, 47(01): 60-61. [4] 文晓英, 罗建辉. 作战部队官兵精索静脉曲张高发的原因调查及相关分析[J]. 世界最新医学信息文摘 2017, 17(20): 175-176. [5] Paick S, Choi WS. Varicocele and Testicular Pain: A Review[J]. World J Mens Health 2019, 37(1): 4-11. [6] Clavijo RI, Carrasquillo R, Ramasamy R. Varicoceles: prevalence and pathogenesis in adult men[J]. Fertil Steril 2017, 108(3): 364-369. [7] 邓春华, 商学军. 精索静脉曲张诊断与治疗中国专家共识[J]. 中华男科学杂志 2015, 21(11): 1035-1042. [8] Park JH, Pak K, Park NC, Park HJ. How Can We Predict a Successful Outcome after Varicocelectomy in Painful Varicocele Patients? An Updated Meta-Analysis. World J Mens Health 2021, 39(4): 645-653. [9] Baazeem A, Belzile E, Ciampi A, Dohle G, Jarvi K, Salonia A, Weidner W, Zini A. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Eur Urol 2011, 60(4): 796-808. [10] Kim KH, Lee JY, Kang DH, et al. Impact of surgical varicocele repair on pregnancy rate in subfertile men with clinical varicocele and impaired semen quality: a meta-analysis of randomized clinical trials. Korean J Urol 2013, 54(10): 703-709. [11] Kirby EW, Wiener LE, Rajanahally S, et al. Undergoing varicocele repair before assisted reproduction improves pregnancy rate and live birth rate in azoospermic and oligospermic men with a varicocele: a systematic review and meta-analysis. Fertil Steril 2016, 106(6): 1338-1343. [12] Esteves SC, Roque M, Agarwal A. Outcome of assisted reproductive technology in men with treated and untreated varicocele: systematic review and meta-analysis. Asian J Androl 2016, 18(2): 254-258. [13] Minhas S, Bettocchi C, Boeri L, et al. European Association of Urology guidelines on male sexual and reproductive health: 2021 update on male infertility[J]. Eur Urol, 2021, 80(5): 603-620. [14] Yamamoto M, Hibi H, Hirata Y, Miyake K, Ishigaki T. Effect of varicocelectomy on sperm parameters and pregnancy rate in patients with subclinical varicocele: a randomized prospective controlled study. J Urol 1996, 155(5): 1636-1638. [15] Grasso M, Lania C, Castelli M, et al. Low-grade left varicocele in patients over 30 years old:the effect of spermatic vein ligation on fertility. BJU Int ,2000, 85(3): 305-307. [16] Unal D, Yeni E, Verit A, Karatas OF. Clomiphene citrate versus varicocelectomy in treatment of subclinical varicocele: a prospective randomized study. Int J Urol, 2001, 8(5): 227-230. [17] Cantoro U, Polito M, Muzzonigro G. Reassessing the role of subclinical varicocele in infertile men with impaired semen quality: a prospective study. Urology 2015, 85(4): 826-830. [18] Diamond DA, Zurakowski D, Bauer SB, Borer JG, et al. Relationship of varicocele grade and testicular hypotrophy to semen parameters in adolescents. J Urol 2007, 178(4 Pt 2): 1584-1588. [19] Castagnetti M, Cimador M, Catalano P, et al. Evolving management of adolescent varicocele. J Pediatr Urol 2008, 4(2): 107-112. [20] Zhou T, Zhang W, Chen Q, et al. Effect of varicocelectomy on testis volume and semen parameters in adolescents: a meta-analysis. Asian J Androl 2015, 17(6): 1012-1016. [21] DeCastro BJ, Peterson AC, Costabile RA. A 5-year followup study of asymptomatic men with testicular microlithiasis. J Urol, 2008, 179(4): 1420-1423; discussion 1423. [22] Ivanissevich O. Left varicocele due to reflux; experience with 4,470 operative cases in forty-two years. J Int Coll Surg 1960, 34: 742-755. [23] Palomo A. Radical cure of varicocele by a new technique; preliminary report. J Urol 1949, 61(3): 604-607. [24] Sanchez de Badajoz E, Diaz Ramirez F, Vara Thorbeck C. [Laparoscopic treatment of varicocele]. Arch Esp Urol 1991, 44(5): 623-625. [25] Aaberg RA, Vancaillie TG, Schuessler WW. Laparoscopic varicocele ligation: a new technique. Fertil Steril 1991, 56(4): 776-777. [26] Ding H, Tian JQ, Du W, et al. Open non-microsurgical, laparoscopic or open microsurgical varicocelectomy for male infertility: a meta-analysis of randomized controlled trials[J]. BJU Int, 2012, 110(10): 1536-1542. [27] Silay MS, Hoen L, Quadackaers J, et al. Treatment of varicocele in children and adolescents: asystematic review and meta-analysis from the European Association of Urology/European Society for Paediatric Urology Guidelines Panel[J]. Eur Urol, 2019, 75(3): 448-461. [28] 姚志勇, 孙斌, 盛海波, 等. 自制套管经脐单孔腹腔镜手术治疗精索静脉曲张106例报告[J]. 临床泌尿外科杂志, 2015, 30(10): 876-878+882. [29] 林斌, 朱景振, 李龙坤. 单孔与传统腹腔镜治疗精索静脉曲张随机对照研究的Meta分析[J]. 微创泌尿外科杂志, 2016, 5(6): 336-342. [30] Lee SW, Lee JY, Kim KH, et al. Laparoendoscopic single-site surgery versus conventional laparoscopic varicocele ligation in men with palpable varicocele: a randomized, clinical study[J]. Surg Endosc, 2012, 26(4): 1056-1062. [31] 孟凡湘, 刘彦军, 陈潜. 单孔法腹膜外免气腹腹腔镜下精索静脉高位结扎术[J]. 中华男科学杂志, 2009, 15(9): 847-848. [32] 杨海超, 许汉标, 蒲小勇, 等. 免气腹悬吊式单孔腹腔镜集束结扎手术治疗精索静脉曲张[J]. 中华腔镜泌尿外科杂志(电子版), 2014, 8(6): 448-451. [33] 刘永亮, 王臣, 宋晓明, 等. 免气腹与CO2气腹腹腔镜双侧精索静脉高位结扎术的临床疗效比较[J]. 中华临床医师杂志(电子版), 2020, 14(10): 813-816. [34] Shu T, Taghechian S, Wang R. Initial experience with robot-assisted varicocelectomy[J]. Asian J Androl 2008, 10(1): 146-148. [35] 周翔, 王家寅, 朱祥, 等. 超远程5G机器人辅助腹腔镜下精索静脉高位结扎术2例报道及文献复习[J]. 中华男科学杂志, 2022, 28(8): 696-701. [36] McCullough A, Elebyjian L, Ellen J, et al. A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy[J]. Asian J Androl, 2018, 20(2): 189-194. [37] Ergun O, Gudeloglu A, Parekattil SJ. Robotic surgery for male infertility and chronic scrotal content pain[J]. J Endourol ,2022, 36(S2): S48-S60. [38] Goldstein M, Gilbert BR, Dicker AP, et al. Microsurgical inguinal varicocelectomy with delivery of the testis: an artery and lymphatic sparing technique[J]. J Urol, 1992, 148(6): 1808-1811. [39] 刘稳顺, 于志勇, 彭京丽, 等. 3D视频显微系统在精索静脉曲张显微手术中的应用[J]. 中国男科学杂志, 2022, 36(3): 67-70.+79. [40] 张志强, 李鸣. 显微镜下精索静脉曲张结扎术治疗进展[J]. 新疆医学, 2017, 47(7): 704-706. [41] 邵为民, 斯坎达尔, 阿不来提·买买提明, 等. 显微镜下不同的手术方式治疗精索静脉曲张的效果分析[J].中国性科学, 2018, 27(4): 15-19. [42] Bryniarski P, Taborowski P, Rajwa P, et al. The comparison of laparoscopic and microsurgical varicocoelectomy in infertile men with varicocoele on paternity rate 12 months after surgery: a prospective randomized controlled trial[J]. Andrology, 2017, 5(3): 445-450. [43] Chiba K, Fujisawa M. Clinical outcomes of varicocele repair in infertile men: areview[J]. World J Mens Health, 2016, 34(2): 101-109. [44] 宋涛, 王春杨, 张磊, 等. 显微外科与腹腔镜两种手术治疗精索静脉曲张的疗效及并发症的对比观察[J]. 中华男科学杂志, 2012, 18(4): 335-338. [45] 宁亮, 张亚妮, 顾甜甜, 等. 显微精索静脉结扎手术的省时改进—显微结扎钉的应用[J]. 现代泌尿外科杂志, 2016, 21(,9): 697-699. [46] 刘健男, 刘亚东, 杨可来尔, 等. 精索静脉曲张外科治疗概述及有效性分析[J]. 现代泌尿外科杂志, 2018, 23(1): 73-76. [47] 刘一朝, 刘敏, 崔宁宁, 等. 国内精索静脉曲张的临床治疗现状及分析[J]. 中国性科学, 2021, 30(6): 23-25. [48] 王晓利, 王璟琦, 王东文. 腹腔镜手术治疗精索静脉曲张的进展[J]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(2): 139-141. [49] Chung SD, Wu CC, Lin VC, et al. Minilaparoscopic varicocelectomy with preservation of testicular artery and lymphatic vessels by using intracorporeal knot-tying technique: five-year experience[J]. World J Surg ,2011, 35(8): 1785-1790. [50] Sepulveda L, Coimbra D, Lourenco M, et al. Varicocele treatment in patients up to 35 years old: a multicentric retrospective studycomparing 3 different techniques[J]. Arch Esp Urol ,2018, 71(6): 543-548. [51] Yamamoto M, Tsuji Y, Ohmura M, et al. Comparison of artery-ligating and artery-preserving varicocelectomy: effect on post-operative spermatogenesis[J]. Andrologia, 1995, 27(1): 37-40. [52] Schwentner C, Oswald J, Lunacek A, et al. Optimizing the outcome of microsurgical subinguinal varicocelectomy using isosulfan blue: a prospective randomized trial[J].J Urol, 2006, 175(3 Pt 1): 1049-1052. [53] Pagani RL, Ohlander SJ, Niederberger CS. Microsurgical varicocele ligation: surgical methodology and associated outcomes[J]. Fertil Steril, 2019, 111(3): 415-419. [54] Grober ED, Chan PT, Zini A, et al. Microsurgical treatment of persistent or recurrent varicocele[J]. Fertil Steril ,2004, 82(3): 718-722.