When is a varicocele repair indicated: the dilemma of XXXX and erectile dysfunction?

@entity10523 @entity1 @entity249 @entity251 @entity194 @entity158 @entity6126 @entity250
UNASSIGNED: In the past, the indications for varicocelectomy are primarily for @entity249 with abnormal semen parameters, @entity10523 / @entity194 in adolescents, and/or @entity158 . The surgical treatment of varicocele for @entity6126 is controversial and debated. Recently, multiple reports in the literature have suggested that varicocele is associated with @entity6126 and varicocele repair can increase @entity251 levels. @entity1 with hypogonadal symptoms should have at least two serum @entity251 levels. Microsurgical varicocelectomy may be beneficial for @entity1 with clinically palpable varicoceles with documented @entity6126 . In this review, we summarize the most recent literature linking varicocele to @entity6126 and @entity250 and the impact of repair on serum @entity251 levels. We performed a search of the published English literature. The key words used were "varicocele and @entity6126 " and "varicocele surgery and @entity251 ." We included published studies after 1998. We, also, evaluated the effect of surgery on the changes in the serum @entity251 level regardless of the indication for the varicocele repair.
