Zusammenfassung
Bei männlicher Infertilität ist die Therapie der Varikozele als andrologischer Faktor zur Verbesserung der Ejakulatqualität unumstritten. Neue Metaanalysen zeigen auch einen Effekt auf die Schwangerschaftsrate in der unfruchtbaren Partnerschaft.
Abstract
There is no question that therapy for a varicocele in cases of male infertility improves the ejaculate quality. New data provide hints for an additional influence on the pregnancy rates in infertile partnerships.
Schlüsselwörter
Varikozelen-Therapie - männliche Infertilität
Key words
varicocele therapy - male infertility
Literatur
-
1
Weidner W, Pilatz A, Altinkilic B.
Andrologic: Varikozele. Ein Update.
Urologe.
2010;
49
163-165
-
2
Baazeem A, Belzile E, Ciampi A et al.
Varicocele and male factor infertility treatment: A new meta-analysis and review of the role of varicocele repair.
Eur Urol.
2011;
[Epub ahead of print]
-
3
Zini A, Boman J M.
Varicocele: red flag or red herring?.
Semin Reprod Med.
2009;
27
171-178
-
4
Kliesch S.
Kontra-Varikozelentherapie.
Aktuel Urol.
2008;
39
263-264
-
5
Nieschlag E, Hertle L, Fischedick A et al.
Treatment of varicocele: counselling as effective as occlusion of the vena spermatica.
Human Reprod.
1995;
10
347-353
-
6
Nieschlag E, Hertle L, Fischedick A et al.
Update on treatment of varicocele: counselling as effective as occlusion of the vena spermatica.
Hum Reprod.
1998;
13
2147-2150
-
7 Evers J LH, Collins J, Clarke J. Surgery or embolisation for varicoceles in subfertile men. Cochrane Database of Systematic Reviews 2009
-
8
Ficarra V, Cerreto M A, Liguori G et al.
Gentile V Treatment of varicocele in subfertile men: The Cochrane Review – a contrary opinion.
Eur Urol.
2006;
49
258-263
-
9
Marmar J L, Agarwal A, Prabakaran S et al.
Reassessing the value of varicocelectomy as a treatment for male subfertility with a new meta-analysis.
Fertil Steril.
2007;
88
639-648
-
10
Abdel-Meguid T A, Al-Sayyad A, Tayib A et al.
Does varicocele repair improve male infertility? An evidence-based perspective from a randomized, controlled trial.
Eur Urol.
2011;
49
455-461
-
11
Cayan S, Shavakhobov S, Kadioglu A.
Treatment of palpable varicocele in infertile men: A meta-analysis to define the best technique.
J Androl.
2009;
30
33-40
-
12
Pasqualotto F F, Lucon A M, de Góes P M et al.
Is it worthwhile to operate on subclinical right varicocele in patients with grade II–III varicocele in the left testicle?.
Reprod Biomed Online.
2006;
12
630-633
1 Stipendiat LOEWE-MIBIE Gießen
Prof. Dr. W. Weidner
Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie · UKGM GmbH – Standort Gießen · Justus-Liebig Universität Gießen
Rudolf-Buchheim-Str. 7
35392 Gießen
Telefon: +49 / (0)6 41 / 98 54 45 01
Fax: +49 / (0)6 41 / 98 54 45 09
eMail: Wolfgang.Weidner@chiru.med.uni-giessen.de
