Role of varicocele treatment in assisted reproductive technologies

Objective: In this review, we investigate the advantage of varicocele repair prior to assisted reproductive technologies (ART) for infertile couples and provide cost analysis information. Materials and methods: We searched the following electronic databases: PubMed, Medline, Excerpta Medica Database...

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Autores principales:	Mehmet G. Sönmez, Ahmet H. Haliloğlu
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/74ce35c30f634bc487cf2aa6f1a196ea
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spelling	oai:doaj.org-article:74ce35c30f634bc487cf2aa6f1a196ea2021-12-02T08:22:58ZRole of varicocele treatment in assisted reproductive technologies2090-598X10.1016/j.aju.2018.01.002https://doaj.org/article/74ce35c30f634bc487cf2aa6f1a196ea2018-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300044https://doaj.org/toc/2090-598XObjective: In this review, we investigate the advantage of varicocele repair prior to assisted reproductive technologies (ART) for infertile couples and provide cost analysis information. Materials and methods: We searched the following electronic databases: PubMed, Medline, Excerpta Medica Database (Embase), Cumulative Index to Nursing and Allied Health Literature (CINAHL). The following search strategy was modified for the various databases and search engines: ‘varicocele’, ‘varicocelectomy’, ‘varicocele repair’, ‘ART’, ‘in vitro fertilisation (IVF)’, ‘intracytoplasmic sperm injection (ICSI)’. Results: A total of 49 articles, including six meta-analyses, 32 systematic reviews, and 11 original articles, were included in the analysis. Bypassing potentially reversible male subfertility factors using ART is currently common practice. However, varicocele may be present in 35% of men with primary infertility and 80% of men with secondary infertility. Varicocele repair has been shown to be an effective treatment for infertile men with clinical varicocele, thus should play an important role in the treatment of such patients due to the foetal/genetic risks and high costs that are associated with increased ART use. Conclusion: Varicocele repair is a cost-effective treatment method that can improve semen parameters, pregnancy rates, and live-birth rates in most infertile men with clinical varicocele. By improving semen parameters and sperm structure, varicocele repair can decrease or even eliminate ART requirement. Keywords: Assisted reproductive technology, In vitro fertilisation, Intracytoplasmic sperm injection, Varicocele, VaricocelectomyMehmet G. SönmezAhmet H. HaliloğluTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 1, Pp 188-196 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Mehmet G. Sönmez Ahmet H. Haliloğlu Role of varicocele treatment in assisted reproductive technologies
description	Objective: In this review, we investigate the advantage of varicocele repair prior to assisted reproductive technologies (ART) for infertile couples and provide cost analysis information. Materials and methods: We searched the following electronic databases: PubMed, Medline, Excerpta Medica Database (Embase), Cumulative Index to Nursing and Allied Health Literature (CINAHL). The following search strategy was modified for the various databases and search engines: ‘varicocele’, ‘varicocelectomy’, ‘varicocele repair’, ‘ART’, ‘in vitro fertilisation (IVF)’, ‘intracytoplasmic sperm injection (ICSI)’. Results: A total of 49 articles, including six meta-analyses, 32 systematic reviews, and 11 original articles, were included in the analysis. Bypassing potentially reversible male subfertility factors using ART is currently common practice. However, varicocele may be present in 35% of men with primary infertility and 80% of men with secondary infertility. Varicocele repair has been shown to be an effective treatment for infertile men with clinical varicocele, thus should play an important role in the treatment of such patients due to the foetal/genetic risks and high costs that are associated with increased ART use. Conclusion: Varicocele repair is a cost-effective treatment method that can improve semen parameters, pregnancy rates, and live-birth rates in most infertile men with clinical varicocele. By improving semen parameters and sperm structure, varicocele repair can decrease or even eliminate ART requirement. Keywords: Assisted reproductive technology, In vitro fertilisation, Intracytoplasmic sperm injection, Varicocele, Varicocelectomy
format	article
author	Mehmet G. Sönmez Ahmet H. Haliloğlu
author_facet	Mehmet G. Sönmez Ahmet H. Haliloğlu
author_sort	Mehmet G. Sönmez
title	Role of varicocele treatment in assisted reproductive technologies
title_short	Role of varicocele treatment in assisted reproductive technologies
title_full	Role of varicocele treatment in assisted reproductive technologies
title_fullStr	Role of varicocele treatment in assisted reproductive technologies
title_full_unstemmed	Role of varicocele treatment in assisted reproductive technologies
title_sort	role of varicocele treatment in assisted reproductive technologies
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/74ce35c30f634bc487cf2aa6f1a196ea
work_keys_str_mv	AT mehmetgsonmez roleofvaricoceletreatmentinassistedreproductivetechnologies AT ahmethhaliloglu roleofvaricoceletreatmentinassistedreproductivetechnologies
_version_	1718398550002368512

Role of varicocele treatment in assisted reproductive technologies

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