Abstract
Male varicocele is the most common correctable cause of male infertility . It is most common in the left side; however it can frequently be bilateral. Isolated right-sided varicocele should prompt work-up for retroperitoneal pathology. Varicocele is a clinical diagnosis, with patients typically presenting with a characteristic “bag-of-worms” appearance; testicular pain is unusual. Treatment for varicocele is indicated for symptoms, testicular atrophy, and semen dysfunction. Minimally invasive endovascular treatment has become the mainstay therapy for varicocele and is routinely performed in the outpatient setting with coils and liquid embolics.
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References
Iaccarino V, Venetucci P. Interventional radiology of male varicocele: current status. Cardiovasc Intervent Radiol. 2012;35(6):1263–80.
Muthuveloe DW, During V, Ashdown D, Rukin NJ, Jones RG, Patel P. The effectiveness of varicocele embolisation for the treatment of varicocele related orchalgia. Spring. 2015;4:392.
Choi WS, Kim SW. Current issues in varicocele management: a review. World J Mens Health. 2013;31(1):12–20.
Halpern J, Mittal S, Pereira K, Bhatia S, Ramasamy R. Percutaneous embolization of varicocele: technique, indications, relative contraindications, and complications. Asian J Androl. 2016;18(2):234–8.
Kwak N, Siegel D. Imaging and interventional therapy for varicoceles. Curr Urol Rep. 2014;15(4):399.
Gat Y, Bachar GN, Zukerman Z, Belenky A, Gornish M. Varicocele: a bilateral disease. Fertil Steril. 2004;81(2):424–9.
Chiba K, Fujisawa M. Clinical outcomes of varicocele repair in infertile men: a review. World J Mens Health. 2016;34(2):101–9.
Pastuszak AW, Wang R. Varicocele and testicular function. Asian J Androl. 2015;17(4):659–67.
Baazeem A, Belzile E, Ciampi A, Dohle G, Jarvi K, Salonia A, et al. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Eur Urol. 2011;60(4):796–808.
Shridharani A, Lockwood G, Sandlow J. Varicocelectomy in the treatment of testicular pain: a review. Curr Opin Urol. 2012;22(6):499–506.
Peterson AC, Lance RS, Ruiz HE. Outcomes of varicocele ligation done for pain. J Urol. 1998;159(5):1565–7.
Levine L. Chronic orchialgia: evaluation and discussion of treatment options. Ther Adv Urol. 2010;2(5–06):209–14.
Jurewicz M, Gilbert BR. Imaging and angiography in male factor infertility. Fertil Steril. 2016;105(6):1432–42.
Practice Committee of the American Society for Reproductive Medicine. Society for male reproduction and urology. Report on varicocele and infertility: a committee opinion. Fertil Steril. 2014;102(6):1556–60.
Lord DJ, Burrows PE. Pediatric varicocele embolization. Tech Vasc Interv Radiol. 2003;6(4):169–75.
Masson P, Brannigan RE. The varicocele. Urol Clin North Am. 2014;41(1):129–44.
Kim J, Shin JH, Yoon HK, Ko GY, Gwon DI, Kim EY, et al. Persistent or recurrent varicocoele after failed varicocoelectomy: outcome in patients treated using percutaneous transcatheter embolization. Clin Radiol. 2012;67(4):359–65.
Puche-Sanz I, Flores-Martín JF, Vázquez-Alonso F, Pardo-Moreno PL, Cózar-Olmo JM. Primary treatment of painful varicocoele through percutaneous retrograde embolization with fibred coils. Andrology. 2014;2(5):716–20.
Bechara CF, Weakley SM, Kougias P, Athamneh H, Duffy P, Khera M, et al. Percutaneous treatment of varicocele with microcoil embolization: comparison of treatment outcome with laparoscopic varicocelectomy. Vascular. 2009;17(Suppl 3):S129–36.
Kroese AC, de Lange NM, Collins J, Evers JL. Surgery or embolization for varicoceles in subfertile men. Cochrane Database Syst Rev. 2012;10:CD000479.
Ficarra V, Cerruto MA, Liguori G, Mazzoni G, Minucci S, Tracia A, et al. Treatment of varicocele in subfertile men: the Cochrane review--a contrary opinion. Eur Urol. 2006;49(2):258–63.
Shlansky-Goldberg RD, VanArsdalen KN, Rutter CM, Soulen MC, Haskal ZJ, Baum RA, et al. Percutaneous varicocele embolization versus surgical ligation for the treatment of infertility: changes in seminal parameters and pregnancy outcomes. J Vasc Interv Radiol. 1997;8(5):759–67.
Lima SS, Castro MP, Costa OF. A new method for the treatment of varicocele. Andrologia. 1978;10(2):103–6.
Gandini R, Konda D, Reale CA, Pampana E, Maresca L, Spinelli A, et al. Male varicocele: transcatheter foam sclerotherapy with sodium tetradecyl sulfate--outcome in 244 patients. Radiology. 2008;246(2):612–8.
Favard N, Moulin M, Fauque P, Bertaut A, Favelier S, Estivalet L, et al. Comparison of three different embolic materials for varicocele embolization: retrospective study of tolerance, radiation and recurrence rate. Quant Imaging Med Surg. 2015;5(6):806–14.
Vaidya S, Tozer KR, Chen J. An overview of embolic agents. Semin Interv Radiol. 2008;25(3):204–15.
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Alexander, S.E., Uflacker, A. (2018). Varicocele. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_14
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