Literature Reviews
doi: 10.25005/2074-0581-2017-19-4-544-549
CURRENT STATE OF THE PROBLEM OF SURGICAL TREATMENT IN PATIENTS WITH VARICOCELE

N.D. Mukhiddinov1, M.Kh. Malikov2, Kh.S. Odinaev3, Z.R. Abdulloev4

1Department of Surgical Diseases and Endoscopic Surgery, Institute of Postgraduate Education in Healthcare, Dushanbe, Tajikistan
2Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Tajikistan
3Department of Endoscopic Urology, Scientific-Educational and Clinical Center of Urology, Dushanbe, Tajikistan
4Department of Restorative Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Tajikistan

The article presents modern aspects of surgical treatment of varicocele, comparison of various techniques of operative interventions in this pathology, as well as further optimization management of patients with this disease. Given all the data studied in the analysis of contemporary literature, issue improving testimony for performing individual methods in surgical treatment remains relevant and require additional research.

Keywords: Varicocele, hemodynamic types, sperm test, Ivanissevich surgery, Marmar operation, Marmar-Holstein surgery, relapse.

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References
  1. Kim HT, Song PH, Moon KH. Microsurgical ligation for painful varicocele: effectiveness and predictors of pain resolution. Yonsei Medical Journal. 2012;53(1):145-50.
  2. Artykov KP, Yuldashov MA, Saidov MS, Fayziev KhZ. Sravnitel’naya otsenka razlichnykh khirurgicheskikh metodov lecheniya varikotsele pri patospermii [Comparative evaluation of various surgical methods of varicocele treatment in case of pathospermia]. Vestnik Avitsenny [Avicenna Bulletin]. 2016;1:12-6.
  3. Samoylov AS, Martov AG, Kyzlasov PS, Zabelin MV, Kazhera AA. Sravnitel’naya kharakteristika effektivnosti khirurgicheskogo lecheniya varikotsele u sportsmenov raznymi metodami: operatsii Marmara i laparoskopicheskogo klipirovaniya yaichkovoy veny [Comparative characteristics of the effectiveness of surgical treatment varicocele in athletes by different methods: the operation of mammar and laparoscopic clipping of the testicle vein]. Urologiya. 2016;6:44-6.
  4. Apolikhin OI, Efremov EA, Shekhovtsov SYu, Kastrikin YuV. Sravnitel’nyy analiz metodov khirurgicheskogo lecheniya varikotsele [Comparative analysis of methods of surgical treatment varicocele]. Kreativnaya khirurgiya i onkologiya. 2017;7(4):21-6.
  5. Kapto AA. Operativnyy dostup po linii Veslinga pri varikotsele [Operational access through the Wesling line with varicocele]. Andrologiya i genital’naya khirurgiya. 2016;17(4):44-8.
  6. Dudarev VA, Koshmelev AA, Vilskiy GI. Sluchay povrezhdeniya mochetochnika s formirovaniem obshirnogo mochevogo zatyoka pri operatsii Ivanissevicha [The case of damage to the ureter with the formation of a large urinary stench in the Ivanissevich operation]. Zabaykal’skiy meditsinskiy zhurnal. 2016;4:64-5.
  7. Apolikhin OI, Efremov EA, Shekhovtsov SYu, Kastrikin YuV. Sravnitel’nyy analiz metodov khirurgicheskogo lecheniya varikotsele [Comparative analysis of methods of surgical treatment varicocele]. Kreativnaya khirurgiya i onkologiya. 2017;4:21-6.
  8. Gevorkyan AR, Avakyan AYu, Pavlyuk MD, Pinchuk IS. Rezul’taty khirurgicheskogo lecheniya varikotsele v otdelenii urologii GBUZ «Gorodskaya poliklinika № 195» (filial № 2) [Results of surgical treatment of varicocele in the Department of Urology of the City Clinical Hospital No. 195 (Branch № 2)]. Andrologiya i genital’naya khirurgiya. 2014;4:41-3.
  9. Severgina ES, Severgina LO, Rapoport LM, Rapoport YuL, Derunova TI. Remodelirovanie sosudov kak proyavlenie kompensatornykh protsessov pri raznoy stepeni vyrazhennosti varikotsele [Remodeling of blood vessels as a manifestation of compensatory processes with varying degrees of varicocele]. Andrologiya i genital’naya khirurgiya. 2013;2:35-9.
  10. Berdnikov MA, Antipov NV. Varikotsele: sovremennaya problema [Varicocele: a modern problem]. Zhurnal fundamental’noy meditsiny i biologii. 2016;3:42-50.
  11. Krupin VN, Mamonov MV, Artifeksova AA. Usilenie arterial’noy gemodinamiki u bol’nykh varikotsele s besplodiem [Strengthening of arterial hemodynamics in varicocele patients with infertility]. Sovremennye tekhnologii v meditsine. 2013;3:93-9.
  12. Abdel-Meguid TA. Predictors of sperm recovery and azoospermia relapse in men with nonobstructive azoospermia after varicocele repair. J Urol. 2012;187(1):222-6.
  13. Zhukov OB, Verzin AV, Penkov PL. Regionarnaya pochechnaya vennaya gipertenziya i levostoronnee varikotsele [Regional renal venous hypertension and left-sided varicocele]. Andrologiya i genital’naya khirurgiya. 2013;3:29- 37.
  14. Pan LJ. Microsurgical varicocelectomy for male infertility. Zhonghua Nan Ke Xue. 2008;14(7):640-4.
  15. Evdokimov VV, Zakharikov SV, Kastrikin YuV. Varikotsele u detey i podrostkov [Varicocele in children and adolescents]. Lechenie i profilaktika. 2017;1:53-6.
  16. Mohammed A, Chinegwundoh F. Testicular varicocele: an overview. Urologia Internationalis. 2009; 82(4):373-9.
  17. Severgina LO, Derunova TI, Gurevich AI, Severgina ES, Rapoport LM. Vsegda li opravdano khirurgicheskoe vmeshatel’stvo pri lechenii varikotsele u detey? [Is surgical intervention always justifiable in the treatment of varicocele in children ?]. Andrologiya i genital’naya khirurgiya. 2013;1:73-6.
  18. Vivas-Acevedo G, Lozano JR, Camejo MI. Effect of varicocele grade and age on seminal parameters. Urologia internationalis. 2010;85(2):194-9.
  19. Akhunzyanov AA, Nurmeev IN. Varikotsele i khronicheskaya venoznaya nedostatochnost’: vzglyad glazami urologa i angiokhirurga [Varicocele and chronic venous insufficiency: a look through the eyes of an urologist and vascular surgeon]. Reproduktivnoe zdorov’e detey i podrostkov. 2010;1:57- 64.
  20. Iaccarino V, Venetucci P. Interventional radiology of male varicocele: current status. Cardiovascular and Interventional Radiology. 2012;35(6):1263-80.
  21. Glybochko PV, Usachyova OA, Chalyy ME. Reproduktivnaya funktsiya muzhchin posle operativnogo lecheniya varikotsele [Reproductive function of men after surgical treatment of varicocele]. Farmateka. 2012;12:46-8.
  22. Boboev DU, Yuldoshev MA, Khomidov FB. Lechenie varikotsele, formirovanie mikrososudistykh mezhvenoznykh anastomozov [Treatment varicocele, the formation of microvascular venous anastomoses]. Sovremennaya meditsina aktual’nye voprosy. 2013;12(26):56-63.
  23. Tawadrous GA, Aziz AA, Mostafa T. Seminal soluble fas relationship with oxidative stress in infertile men with varicocele. Urology. 2013;82(4):820-3.
  24. Shamsa A, Mohammadi L, Abolbashari M, Shakeri MT, Shamsa S. Comparison of open and laparoscopic varicocelectomies in terms of operative time, sperm parameters, and complications. Urol J. 2009;6(3):170-5.
  25. Umarov BA. Sravnitel’naya otsenka rezul’tatov khirurgicheskogo lecheniya varikotsele [Comparative evaluation of the results of surgical treatment of varicocele]. Vestnik Kyrgyzsko-Rossiyskogo slavyanskogo universiteta. 2012;12(9): 129-31.
  26. Chalyy ME, Artykov KP, Yuldashov MA. Testikulo-nizhneepigastral’nye anastomozy v lechenii varikotsele [Testiculo-lower-epigastric anastomoses in the treatment of varicocele]. Vestnik Avitsenny [Avicenna Bulletin]. 2016;2:28-31.
  27. Artykov KP, Yuldashev MA, Odinaev KhS, Khomidov FB. Sosudistye dreniruyushchie operatsii pri varikotsele [Vascular drainage operations for varicocele]. Vestnik Avitsenny [Avicenna Bulletin]. 2012;1:15-21.
  28. Artykov KP, Khomidov FB, Khvan IN, Yuldoshev MA. Sovremennye metody operativnogo lecheniya varikotsele [Modern methods of surgical treatment of varicocele]. Vestnik Avitsenny [Avicenna Bulletin]. 2014;3:113-20.
  29. Nikitin OD, Bazalitskaya SV. Effektivnost’ operativnogo lecheniya varikotsele v plane vosstanovleniya reproduktivnoy funktsii [The effectiveness of surgical treatment varicocele in terms of restoring the reproductive function]. Klíníchna khírurgíya. 2013;10:63-6.
  30. Muslimov ShT, Bogdanov AB, Kotov SV. Mikrokhirurgicheskoe ligirovanie yaichkovykh ven – «zolotoy standart» v lechenii varikotsele? [Microsurgical ligation of the testicle veins is the «gold standard» in the treatment of varicocele?]. Annaly khirurgii. 2011;2:29-33.
  31. Esteves SC, Roque M, Agarwal A. Outcome of assisted reproductive technology in men with treated and untreated varicocele: systematic review and meta-analysis. Asian Journal of Andrology. 2016;18(2):254-8.
  32. Andreev YuG, Volkov AN, Andreev RYu. Vysokaya perevyazka yaichkovoy veny iz mini-dostupa pri lechenii varikotsele [High ligation of the testicle vein from the mini-access in the treatment of varicocele]. Zdravookhranenie Chuvashii. 2010;1:15-7.
  33. Chen SS, Chen LK. Risk factors for progressive deterioration of semen quality in patients with varicocele. Urology. 2012;79(1):128-32.
  34. Boman JM. Microsurgical varicocelectomy for isolated asthenospermia. J Urol. 2008;180(5):2129-32.
  35. Giagulli VA, Carbone MD. Varicocele correction for infertility: which patients to treat? International Journal of Andrology. 2011;34(3):236-41.
  36. Carmignani L. Sclerotherapy of the pampiniform plexus with modified Marmar technique in children and adolescents. Urologia Internationalis. 2009;82(2):187-90
  37. Salem HK, Mostafa T. Preserved testicular artery at varicocele repair. Andrologia. 2009;41(4):241-5.
  38. Gargollo PC, Diamond DA. Current management of the adolescent varicocele. Current Urology Reports. 2009;10(2):144-52.
  39. Raheem OA. Surgical management of adolescent varicocele: systematic review of the world literature. Urology Annals. 2013;5(3):133-9.
  40. Pastuszak AW, Wang R. Varicocele and testicular function. Asian Journal of Andrology. 2015;17(4):659-67.
  41. Jeng SY, Wu SM, Lee JD. Cadmium accumulation and metallothionein overexpression in internal spermatic vein of patients with varicocele. Urology. 2009;73(6):1231-5.
  42. Dabaja A, Wosnitzer M, Goldstein M. Varicocele and hypogonadism. Current Urology Reports. 2013;14(4):309-14.
  43. Lee JD, Yang WK, Lai CH. Involved intrinsic apoptotic pathway in the varicocele and varicose veins. Annals of Vascular Surgery. 2010;24(6):768-74.
  44. Kiuchi H. Results of microsurgical varicocelectomy in the adolescent. Nippon Hinyokika Gakkai Zasshi. 2009;100(4):519-24.
  45. Inci K, Gunay LM. The role of varicocele treatment in the management of non-obstructive azoospermia. Clinics. 2013;68:89-98.
  46. Alchinbaev MK, Makazhanov MA, Mukhamedzhan IT, Maskutov KZh. Otsenka effektivnosti mikrokhirurgicheskoy subingvinal’noy varikotselektomii v lechenii patsientov s oligoastenozoospermiey [Evaluation of the effectiveness of microsurgical subingual varicocelectomy in the treatment of patients with oligoastenozoospermia]. Vestnik urologii. 2016;1:5-11.
  47. Yetkin E, Ozturk S. Dilating venous diseases: Varicocele and varicose vein. Annals of Vascular Surgery. 2017;38:348-50.
  48. Lee JD, Yang WK, Lee TH. Increased expression of hypoxia-inducible factor1alpha and Bcl-2 in varicocele and varicose veins. Annals of Vascular Surgery. 2012;26(8):1100-5.
  49. Kolon TF. Evaluation and management of the adolescent varicocele. J Urol. 2015;194(5):1194-201.
  50. Kadyrov ZA, Ishonakov KhS, Matar AA. Epidemiologiya, diagnostika i lechenie dvustoronnego varikotsele [Epidemiology, diagnosis and treatment of bilateral varicocele]. Urologiya. 2008;2:64-8.

Authors' information:

Mukhiddinov Nuriddin Davlatalievich,
Doctor of Medical Sciences, Head of the Department of Surgical Diseases and Endoscopy Surgery, Institute of Postgraduate Education in Healthcare

Malikov Mirzobadal Khalifaevich,
Candidate of Medical Sciences, Research Fellow of the Department of Reconstructive and Plastic Microsurgery of the Republican Scientific Center for Cardiovascular Surgery

Odinaev Khokimbeg Saidovich,
Candidate of Medical Sciences, Head of the Department of Endoscopy Urology, Scientific and Educational Clinical Center of Urology

Abdulloev Zikriyo Rakhimboevich,
Candidate of Medical Sciences, Research Fellow of the Department of Reconstructive Surgery of the Republican Scientific Center for Cardiovascular Surgery

Conflicts of interest: No conflict

Address for correspondence:

Mukhiddinov Nuriddin Davlatalievich

Doctor of Medical Sciences, Head of the Department of Surgical Diseases and Endoscopy Surgery, Institute of Postgraduate Education in Healthcare

734025, Republic of Tajikistan, Dushanbe, I. Somoni Avenue, 59

Tel.: (+992) 919 246916

E-mail: nuridd@mail.ru

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