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Related Concept Videos

Disorders of the Male Reproductive System01:20

Disorders of the Male Reproductive System

Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Veins of the Abdomen and Pelvis

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Infertility in Males01:23

Infertility in Males

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Updated: Jun 23, 2026

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
04:15

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach

Published on: November 22, 2024

Varicocele.

Chandra Shekhar Biyani1, Jon Cartledge, Günter Janetschek

  • 1Pinderfields General Hospital, Wakefield, UK.

BMJ Clinical Evidence
|May 19, 2009
PubMed
Summary
This summary is machine-generated.

This systematic review examines varicocele treatments like embolization and surgery. Evidence quality varies, impacting recommendations for male infertility management.

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Microscopic Varicocelectomy under Local Anesthesia as the Treatment of Varicocele
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Published on: October 25, 2024

Area of Science:

  • Urology
  • Andrology
  • Reproductive Medicine

Background:

  • Varicocele affects 10-15% of men and adolescent boys, predominantly on the left side.
  • Often asymptomatic, varicocele's impact on male fertility is debated, despite its presence in 12% of infertile men.
  • A significant percentage (25%) of men with abnormal semen analysis have varicocele.

Purpose of the Study:

  • To systematically review and evaluate the effects of various treatments for varicocele in men.
  • To answer the clinical question regarding the efficacy and safety of varicocele interventions.

Main Methods:

  • A systematic review of medical literature was conducted.
  • Searches included Medline, Embase, and The Cochrane Library up to May 2008.
  • Included harms alerts from regulatory agencies like the FDA and MHRA.

Main Results:

  • Eleven systematic reviews, randomized controlled trials (RCTs), and observational studies met the inclusion criteria.
  • A GRADE evaluation was performed to assess the quality of evidence for different interventions.
  • Data on effectiveness and safety of interventions were compiled.

Conclusions:

  • The review presents information on the effectiveness and safety of embolisation, expectant management, sclerotherapy, and surgical ligation for varicocele.
  • Findings guide clinical decision-making for varicocele management.
  • Further research may be needed to clarify optimal treatment strategies.