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Updated: Jan 7, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
Published on: May 27, 2022
Varicocele Treatment in Azoospermia Before Artificial Reproductive Techniques: Critical Considerations by the EAU
Luca Boeri1, Marij Dinkelman-Smit2, Christian Fuglesang S Jensen3
1Department of Urology, IRCCS Fondazione Ca Granda Ospedale Maggiore Policlinico, Milan, Italy.
Abstract:
There is some evidence suggesting potential benefits of varicocelectomy in men with nonobstructive azoospermia (NOA), but it is not of sufficient quality to support a strong recommendation for this procedure. There is a possible benefit of surgical correction of clinically detectable varicocele in NOA patients without known genetic abnormalities and with a partner with no evidence of diminished ovarian reserve. Patient counseling should highlight the variability of the outcome data and the limited strength of the evidence available.
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