Varicocele and male infertility : recent advances in diagnosis and therapy

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Varicocele and male infertility : recent advances in diagnosis and therapy

edited by E.W. Jecht and E. Zeitler ; with the collaboration of W. Adam ... [et al.]

Springer-Verlag, 1982

  • : gw
  • : us
  • 2: gw
  • 2: us

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Includes bibliographies and index

Subtitle is not appears in 2

2: Edited by M. Glezerman and E.W. Jecht ; with the collaboration of M. Bellina ... [et al.]

Description and Table of Contents

Volume

: gw ISBN 9783540107279

Description

It is not surprising that so much investigation has been undertaken to establish the cause of childlessness, especially when the potentia coeundi of the male is not impaired. As long ago as 1957 the German Society for the Study of Fertility and Sterility was founded, embracing gynecology, andrology, and veterinary medicine. After its inception, meetings conducted in the spirit of its foundation were held every 2 years. This interdisciplinary, coordinated scientific work in the field of human reproduction achieved its value as a result of the stimuli provided by the permanent involvement of veterinary scientists. After about 20 years of activity, the Society adopted a highly differentiated pattern of work-directions in the field of human and veterinary medicine. Since 1976 annual meetings have been held on the topic of animal and human reproduction. These meetings have proved of great value, especially in the area of comparative medicine, and have led to excellent interdisciplinary associations. One of the most evident successes was the first extracorporal fertilization in humans with subsequent embryo transfer and full-term pregnancy. Gynecologists have found that in 40% of cases the cause of undesired childlessness rests with the male, and it is therefore no surprise that also in the field of andrology certain factors concerned with infertility have received great attention.

Table of Contents

I. Epidemiology.- Epidemiology of Idiopathic Varicocele.- II. Basic Aspects.- Pathogenesis of Varicocele.- The Varicocele: Clinical Aspects.- "Orchipathia e varicocele".- Histological, Morphometrical, and Enzyme Histochemical Studies on Varicocele Orchiopathy.- Varicocele and Seminal Cytology.- Cases Illustrating the Variation of Results.- III. Diagnosis.- A. Phlebography.- Technique of Retrograde Phlebography of the Internal Spermatic Vein.- Radiologic Anatomy of the Left Testicular Vein in Varicoceles.- Phlebography of the Right Spermatic Vein in Varicoceles.- Technique, Indications, and Results of Transfemoral Phlebography of the Testicular Vein in Persistent Varicocele.- B. Other Methods.- The Value of Physical Examination for the Diagnosis of Varicocele.- Contact Thermography in the Diagnosis of Varicocele.- The Doppler Technique for the Diagnosis of Varicocele.- Diagnosis and Differential Diagnosis of Varicocele by Ultrasound.- Comparison Between Different Methods for the Diagnosis of Varicocele.- IV. Endocrinology and Immunology.- Hormone Levels and Sperm Counts in Patients with Varicocele.- Testosterone in Peripheral Plasma, Spermatic Veins, and Testicular Tissue of Patients with Varicocele.- Varicocele Operation and Endocrine Parameters.- Hormonal Testicular Function in Patients with Varicocele.- Enhanced Chemotactic Activity of Microphages in Varicocele.- V. Therapy.- A. Surgical Treatment.- Surgical Treatment of Varicocele.- Recidivation of Varicocele, Prophylaxis, and Therapy.- Persisting Varicocele: Cause and Treatment.- B. Sclerotherapy.- Results of Transfemoral Testicular Vein Obliteration Using a Balloon Catheter.- Sclerotherapy: Technique and Results.- C. Embolization.- The Treatment of Idiopathic Varicocele by Transfemoral Spiral Occlusion of the Left Testicular Vein.- Treatment of Varicoceles by Embolization with Detachable Balloons.- Nonsurgical Cure of Varicocele by Transcatheter Embolization of the Internal Spermatic Vein with Bucrylate.- Modified Technique for Embolization of the Internal Spermatic Vein.- D. Complications and Risks.- Complications of Surgery for Varicocele.- Complications and Risks of Percutaneous Sclerotherapy.- VI. Results.- Long-Term Results after Surgical Treatment of an Idiopathic Varicocele.- Spermatologic Results Preceding and Following Varicocele Surgery.- Treatment of Idiopathic Varicoceles by Transfemoral Testicular Vein Occlusion.- Effects of Percutaneous Sclerosis of the Left Internal Spermatic Vein on Semen Quality.- VII. Discussion.- Phlebography of Persistent Varicocele in Boys.
Volume

2: gw ISBN 9783540129851

Description

F. H. Comhaire Many diseases were, at the beginning, merely defined by the description of their clinical appearance. Next, the pathogenic mechanisms underlying the diseases were recognized. Since then, the proof of presence of the pathogenic agent or agents has been required to confirm the diagnosis. However, it sometimes happens that the pathogenic agent can be demonstrated without the disease being clinically evident. Confusion arising from this observation may cause endless, often purely emotional discussions between "believers" and "non-believers". Moreover, if the disease involves potential disturbance of male fertility, the problem is further obscured by the difficulty of defining man's fertility. Indeed, during the short history of andrology, the criteria for judging a man and his ejaculate as potentially fertile or infertile have repeatedly changed. Andrological "landmarks" in general do not hold up for long, and some scientists continue to set themselves the task of proving the "old" definitions invalid. Certainly, such developments are necessary to make science more exact and to improve medical care. However, while this research is being done, the male partners of barren marriages continue to seek advice and treatment. Common sense and an empirical approach in the handling of these cases may result in obviously encouraging results, which non-believers will ascribe to "witchcraft" and believers will see as confirmation of their opinions.

Table of Contents

Introduction..- I. Physiopathology.- New Concepts in Pathogenesis and Treatment of Varicocele..- Induced Varicocele in an Animal Model and Comparisons with Clinical Patients..- Histological and Enzyme-Histochemical Studies on Varicocele Orchiopathy..- Ultrastructural Study of Human Testicular Biopsies in Varicocele..- Physiopathology of Testicular Dysfunction in Variococele: Does Varicocele Exist without Reflux in the Internal Spermatic Vein?..- Are There Different Types of Varicocele?..- II. Diagnosis.- The Doppler Assessment of Varicoceles..- Doppler Test and Scrotal Thermography in Variococele..- Scrotal Scintigraphy Vs Scrotal Thermography: A Comparison of Scrotal Imaging Techniques for the Diagnosis of Varicocele..- Detection of Varicocele by Isotopic Angiography..- Comparison of Four Different Methods for the Diagnosis of Varicocele..- Varicoceles Combined with Other Fertility Disturbances: The Use of Kallikrein as a Diagnostic Test..- III. Therapy.- A Short Historical Review and Comparative Results of Surgical Treatment for Varicocele..- Treatment of Varicocele by Transcatheter Embolization with Bucrylate..- Percutaneous Sclerosation of the Testicular Vein Using a Ballon Catheter..- Effects of Varicocelectomy on Spermatogenesis..- Varicocele: Changes in the Anatomy of Venous Reflux After Ligation..- The Value of HCG After Varicocelectomy in Severely Oligospermic Men..- The Influence of Superimposed Male and Female Factors of Infertility on the Prognosis of Spermatic Vein Ligation in Varicocele..- Multicenter-Compiled Results of Pregnancies After Non-Surgical Cure of Varicocele..

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