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Microsurgical varicocelectomy： a review

Asian Journal of Andrology 2013年第1期15卷 56-60页

作者： Akanksha Mehta Marc Goldstein Department of Urology and Center for Male Reproductive Medicine and Surgery Weill Cornell Medical College New York NY 10021 USA

Varicocelectomy is the most commonly performed surgical procedure for the treatment of male infertility. Although several different techniques for varicocele repair have been described in the literature, microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized as the gold-standard approach for varicocelectomy, due to high success rates with minimal complications. Standard indications for varicocelectomy include palpable varicocele（s）, with one or more abnormal semen parameters, and, for the couple trying to conceive, in the setting of normal or correctable female infertility. However, varicocele repair is often recommended and undertaken for reasons other than infertility, including low serum testosterone, testicular pain, testicular hypotrophy and poor sperm DNA quality. This article reviews the technical aspects of microsurgical varicocelectomy, and its indications in adults and adolescents.

关键词： DNA fragmentation hypogonadism infertility microsurgical varicocelectomy orchalgia varicocele repair

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An overview of the management of post-vasectomy pain syndrome

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Asian Journal of Andrology 2016年第3期18卷 332-337,I0006页

作者： Wei Phin Tan Laurence A Levine Department of Urology Rush University Medical Center Chicago Illinois USA.

Post-vasectomy pain syndrome remains one of the more challenging urological problems to manage. This can be a frustrating process for both the patient and clinician as there is no well-recognized diagnostic regimen or reliable effective treatment. Many of these patients will end up seeing physicians across many disciplines, further frustrating them. The etiology of post-vasectomy pain syndrome is not clearly delineated. Postulations include damage to the scrotal and spermatic cord nerve structures via inflammatory effects of the immune system, back pressure effects in the obstructed vas and epididymis, vascular stasis, nerve impingement, or perineural fibrosis. Post-vasectomy pain syndrome is defined as at least 3 months of chronic or intermittent scrotal content pain. This article reviews the current understanding of post-vasectomy pain syndrome, theories behind its pathophysiology, evaluation pathways, and treatment options.

关键词： epididymectomy microdenervation orchalgia post-vasectomy pain management post-vasectomy pain syndrome testicular pain vasectomy reversal vaso-vasostomy

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