clinical significance of subclinical varicocelectomy in male infertility systematic review and meta-analysis精品.pdfVIP

OR IGINAL ARTICLE Clinical significance of subclinical varicocelectomy in male infertility: systematic review and meta-analysis 1 2 3 1 4 5 6 3 H. J. Kim , J. T. Seo , K. J. Kim , H. Ahn , J. Y. Jeong , J. H. Kim , S. H. Song J. H. Jung 1 Institute for Evidence-based Medicine, College of Medicine, Korea University, Seoul, Korea; 2 Department of Urology, Cheil General Hospital, Dankook University College of Medicine, Seoul, Korea; 3 Department of Urology, Yonsei University Wonju College of Medicine, Wonju, Korea; 4 Center for Health Promotion, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea; 5 Department of Urology, Mizmedi Hospital, Seoul, Korea; 6 Department of Urology, CHA Gangnam Medical Center, CHA University, Seoul, Korea Keywords Summary Infertility—male—pregnancy outcome— semen analysis—varicocele Recent meta-analysis by the Cochrane collaboration concluded that treatment of varicocele may improve an infertile couple’s chance of pregnancy. However, Correspondence there has been no consensus on the management of subclinical varicocele. Jae Hung Jung, MD, Department of Urology, Therefore, we determine the impact of varicocele treatment on semen parame- Yonsei University Wonju College of Medicine, ters and pregnancy rate in men with subclinical varicocele. The randomised 20 Ilsan-ro, Wonju 220-701, Korea. controlled trials that assessed the presence and/or treatment of subclinical Tel.: +82 33 741 0654; Fax: +82 33 741 1930; varicocele were inclu