Consensus and diversity in the management of varicocele for male infertility: Results of a global practice survey and comparison with guidelines and recommendations
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info:eu-repo/semantics/openAccessAttribution-NonCommercial 4.0 Internationalhttps://creativecommons.org/licenses/by-nc/4.0/Date
2022Author
Shah, RupinAgarwal, Ashok
Kavoussi, Parviz
Rambhatla, Amarnath
Saleh, Ramadan
Cannarella, Rossella
Harraz, Ahmed M.
Boitrelle, Florence
Kuroda, Shinnosuke
Hamoda, Taha Abo-Almagd Abdel-Meguid
Zini, Armand
Ko, Edmund
Çalık, Gökhan
Toprak, Tuncay
Kandil, Hussein
Gül, Murat
Bakırcıoğlu, Mustafa Emre
Parekh, Neel
Russo, Giorgio Ivan
Tadros, Nicholas
Kadıoğlu, Ateş
Arafa, Mohamed
Chung, Eric
Rajmil, Osvaldo
Dimitriadis, Fotios
Malhotra, Vineet
Salvio, Gianmaria
Henkel, Ralf
Le, Tan V.
Sogutdelen, Emrullah
Vij, Sarah
Alarbid, Abdullah
Güdeloğlu, Ahmet
Tsujimura, Akira
Calogero, Aldo E.
El Meliegy, Amr
Crafa, Andrea
Kalkanlı, Arif
Baser, Aykut
Hazır, Berk
Giulioni, Carlo
Cho, Chak-Lam
Ho, Christopher C.K.
Salzano, Ciro
Zylbersztejn, Daniel Suslik
Tien, Dung Mai Ba
Pescatori, Edoardo
Borges, Edson
Saïs-Hamza, Eminej
Huyghe, Eric
Ceyhan, Erman
Caroppo, Ettore
Castiglioni, Fabrizio
Bahar, Fahmi
Gökalp, Fatih
Lombardo, Francesco
Gadda, Franco
Duarsa, Gede Wirya Kusuma
Pinggera, Germar-Michael
Busetto, Gian Maria
Balercia, Giancarlo
Cito, Gianmartin
Blecher, Gideon
Franco, Giorgio
Liguori, Giovanni
Elbardisi, Haitham
Keskin, Hakan
Lin, Haocheng
Taniguchi, Hisanori
Park, Hyun Jun
Ziouziou, Imad
de la Rosette, Jean J. M. C. H.
Hotaling, Jim
Ramsay, Jonathan
Molina, Juan Manuel Corral
Lo, Ka Lun
Böcü, Kadir
Khalafalla, Kareim
Bowa, Kasonde
Okada, Keisuke
Nagao, Koichi
Chiba, Koji
Hakim, Lukman
Makarounis, Konstantinos
Hehemann, Marah
Peña, Marcelo Rodriguez
Falcone, Marco
Bendayan, Marion
Martinez, Marlon
Timpano, Massimiliano
Altan, Mesut
Fode, Mikkel
Al-Marhoon, Mohamed S.
Gilani, Mohammad Ali Sadighi
Soebadi, Mohammad Ayodhia
Gherabi, Nazim
Sofikitis, Nikolaos
Kahraman, Oğuzhan
Birowo, Ponco
Kothari, Priyank
Sindhwani, Puneet
Javed, Qaisar
Ambar, Rafael F.
Kosgi, Raghavender
Ghayda, Ramy Abou
Adriansjah, Ricky
Condorelli, Rosita Angela
La Vignera, Sandro
Micic, Sava
Kim, Shannon Hee Kyung
Fukuhara, Shinichiro
Ahn, Sun Tae
Mostafa, Taymour
Ong, Teng Aik
Takeshima, Teppei
Amano, Toshiyasu
Barrett, Trenton
Arslan, Umut
Karthikeyan, Vilvapathy Senguttuvan
Atmoko, Widi
Yumura, Yasushi
Yuan, Yiming
Kato, Yuki
Jezek, Davor
Cheng, Bryan Kwun-Chung
Hatzichristodoulou, Georgios
Dy, Jun
Castañé, Eduard Ruiz
El-Sakka, Ahmed I.
Nguyen, Quang
Sarıkaya, Selçuk
Boeri, Luca
Tan, Ronny
Moussa, Mohamad A.
El-Assmy, Ahmed
Alali, Hamed
Alhathal, Naif
Osman, Yasser
Perovic, Dragoljub
Sajadi, Hesamoddin
Akhavizadegan, Hamed
Vučinić, Miroslav
Kattan, Said
Kattan, Mohamed S.
Mogharabian, Nasser
Phuoc, Nguyen Ho Vinh
Ngoo, Kay Seong
Alkandari, Mohammad H.
Alsuhaibani, Shaheed
Sokolakis, Ioannis
Babaei, Mehdi
King, Mak Siu
Diemer, Thorsten
Gava, Marcelo M.
Henrique, Raphael
Spinola e Silva, Rodrigo
Paul, Gustavo Marquesine
Mierzwa, Tiago Cesar
Glina, Sidney
Siddiqi, Kashif
Wu, Han
Wurzacher, Jana
Farkouh, Ala'a
Son, Hwancheol
Minhas, Suks
Lee, Joe
Magsanoc, Nikko
Capogrosso, Paolo
Capogrosso, Paolo
Albano, German Jose
Lewis, Sheena E.M.
Jayasena, Channa N.
Alvarez, Juan G.
Teo, Colin
Smith, Ryan P.
Chua, Jo Ben M.
Jensen, Christian Fuglesang S.
Parekattil, Sijo
Finelli, Renata
Durairajanayagam, Damayanthi
Karna, Keshab Kumar
Ahmed, Abdelkareem
Evenson, Don
Umemoto, Yukihiro
Puigvert, Ana
Çeker, Gökhan
Colpi, Giovanni M.
Rolitsky, Sarah
Bouzouita, Abderrazak
Shokeir, Ahmed
Aşçı, Ahmet
Bouker, Amin
Adamyan, Aram
Avoyan, Armen E.
Palani, Ayad
Aghamajidi, Azin
Eze, Balantine
Noegroho, Bambang Sasongko
Purnomo, Basuki
Erkan, Bircan Kolbaşı
Zilaitiene, Birute
Kulaksız, Deniz
Kafetzis, Dimitrios
Lee, Dong Sup
Stember, Doron
Evgeni, Evangelini
Alhajeri, Faisal
Finocchi, Federica
Colombo, Fulvio
Tsangaris, George
Sallam, Hassan N.
Acosta, Herik
Rosas, Israel Maldonado
Kirkman-Brown, Jackson
Shin, Jae Il
Sonksen, Jens
Dong, Jie
Marmar, Joel
Moreno-Sepulveda, Jose
Seo, Ju Tae
Aydos, Kaan
Kesari, Kavindra Kumar
Trost, Landon
Jenkins, Lawrence
Rocco, Lucia
Darbandi, Mahsa
Simopoulou, Mara
Alves, Marco
Sabbaghian, Marjan
Tavalaee, Marziyeh
Razi, Mazdak
Duran, Mesut Berkan
Nago, Mitsuru
Elkhouly, Mohamed
Khalili, Mohamed
Nasr-Esfahani, Mohammad Hossein
Kamath, Mohan S.
Uğur, Muhammet Raşit
Park, Nam Cheol
Cruz, Natalio
Garrido, Nicolas
Sodeifi, Niloofar
Al Khalidi, Noora
Shoshany, Ohad
Satyagraha, Paksi
Drakopoulos, Panagiotos
Vogiatzi, Paraskevi
Dolati, Parisa
Das, Partha
Chiu, Peter Ka-Fung
Tsioulou, Petroula A.
Patel, Premal
Singh, Rajender
Kaiyal, Raneen Sawaid
Santos, Ferreira
Dada, Rima
Brodjonegoro, Sakti
Banihani, Saleem Ali
Schon, Samantha
Darbandi, Sara
Güneş, Sezgin
Homa, Sheryl
Mutambirwa, Shingai
Roychoudhury, Shubhadeep
Diaz, Sofia Ines Leonardi
Gopalakrishnan, Sreelatha
Krawetz, Stephen
Jindal, Sunil
Avidor-Reiss, Tomer
Lin, Tsung Yen
Kumar, Vijay
Ibrahim, Wael
Kerkeni, Walid
Woo, Wongi
Morimoto, Yoshiharu
Cheng, Yu-Sheng
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Shah R., Agarwal, A., Kavoussi P., Rambhatla, A., Saleh R., Cannarella R. ... Cheng, Y.-S. (2022). Consensus and diversity in the management of varicocele for male infertility: Results of a global practice survey and comparison with guidelines and recommendations. World Journal of Men's Health, 40. https://doi.org/10.5534/wjmh.220048Abstract
Purpose: Varicocele is a common problem among infertile men. Varicocele repair (VR) is frequently performed to improve semen parameters and the chances of pregnancy. However, there is a lack of consensus about the diagnosis, indications for VR and its outcomes. The aim of this study was to explore global practice patterns on the management of varicocele in the context of male infertility. Materials and Methods: Sixty practicing urologists/andrologists from 23 countries contributed 382 multiple-choice-questions pertaining to varicocele management. These were condensed into an online questionnaire that was forwarded to clinicians involved in male infertility management through direct invitation. The results were analyzed for disagreement and agreement in practice patterns and, compared with the latest guidelines of international professional societies (American Urological Association [AUA], American Society for Reproductive Medicine [ASRM], and European Association of Urology [EAU]), and with evidence emerging from recent systematic reviews and meta-analyses. Additionally, an expert opinion on each topic was provided based on the consensus of 16 experts in the field. Results: The questionnaire was answered by 574 clinicians from 59 countries. The majority of respondents were urologists/uro-andrologists. A wide diversity of opinion was seen in every aspect of varicocele diagnosis, indications for repair, choice of technique, management of sub-clinical varicocele and the role of VR in azoospermia. A significant proportion of the responses were at odds with the recommendations of AUA, ASRM, and EAU. A large number of clinical situations were identified where no guidelines are available. Conclusions: This study is the largest global survey performed to date on the clinical management of varicocele for male infertility. It demonstrates: 1) a wide disagreement in the approach to varicocele management, 2) large gaps in the clinical practice guidelines from professional societies, and 3) the need for further studies on several aspects of varicocele management in infertile men.
Source
World Journal of Men's HealthVolume
40Collections
- Makale Koleksiyonu [3790]
- Makale Koleksiyonu [358]
- PubMed İndeksli Yayınlar Koleksiyonu [4251]
- Scopus İndeksli Yayınlar Koleksiyonu [6601]
- WoS İndeksli Yayınlar Koleksiyonu [6677]
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