Asian Journal of Andrology

INVITED REVIEW
Year
: 2016  |  Volume : 18  |  Issue : 2  |  Page : 213--216

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


Ali A Dabaja1, Marc Goldstein2 
1 Department of Male Reproductive Medicine, Weill Cornell Medical College, New York; Department of Urology, Henry Ford Health System, Detroit, MI, USA
2 Department of Male Reproductive Medicine, Weill Cornell Medical College, New York, USA

Correspondence Address:
Dr. Marc Goldstein
Department of Male Reproductive Medicine, Weill Cornell Medical College, New York
USA

In the past, the indications for varicocelectomy are primarily for infertility with abnormal semen parameters, testicular hypotrophy/atrophy in adolescents, and/or pain. The surgical treatment of varicocele for hypogonadism is controversial and debated. Recently, multiple reports in the literature have suggested that varicocele is associated with hypogonadism and varicocele repair can increase testosterone levels. Men with hypogonadal symptoms should have at least two serum testosterone levels. Microsurgical varicocelectomy may be beneficial for men with clinically palpable varicoceles with documented hypogonadism. In this review, we summarize the most recent literature linking varicocele to hypogonadism and sexual dysfunction and the impact of repair on serum testosterone levels. We performed a search of the published English literature. The key words used were «DQ»varicocele and hypogonadism«DQ» and «DQ»varicocele surgery and testosterone.«DQ» We included published studies after 1998. We, also, evaluated the effect of surgery on the changes in the serum testosterone level regardless of the indication for the varicocele repair.


How to cite this article:
Dabaja AA, Goldstein M. When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction?.Asian J Androl 2016;18:213-216


How to cite this URL:
Dabaja AA, Goldstein M. When is a varicocele repair indicated: the dilemma of hypogonadism and erectile dysfunction?. Asian J Androl [serial online] 2016 [cited 2021 Jul 27 ];18:213-216
Available from: https://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=2;spage=213;epage=216;aulast=Dabaja;type=0