Abstract
Objective To address the best treatment option for varicocele in infertile men.Methods A MEDLINE search was performed on articles published between 1980 and 2011 in English journals,and 35 studies reporting postoperatively spontaneous pregnancy rates and/or complication rates after varicocele repair using various techniques in infertile men with palpable unilateral or bilateral varicocele.Results Compared to microsurgical varicocelectomy,Palomo varicocelectomy,inguinal varicocelectomy,laparoscopic varicocelectomy and radiologic embolization,microsurgical varicocelectomy resulted the highest spontaneous pregnancy rates,the lowest recurrence and hydrocele rates (P ＜ 0.05).Microsurgical subinguinal varicocelectomy showed a lower recurrence rate than that of microsurgical inguinal varicocelectomy.Conclusions Microsurgical subinguinal varicocelectomy is the gold standard in the treatment of male infertility with palpable varicocele. Key words: Varicocele ; Male infertility ; Microsurgery ; Meta analysis
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