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SYMPOSIUM
Year : 2011  |  Volume : 27  |  Issue : 1  |  Page : 58-64

Varicocele-induced infertility: Newer insights into its pathophysiology


Department of Urology, Division of Male Reproductive Medicine and Surgery, Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA

Correspondence Address:
Larry I Lipshultz
Lester & Sue Smith Chair in Reproductive Medicine, Chief, Division of Male Reproductive Medicine & Surgery, Scott Department of Urology, Baylor College of Medicine, 6624 Fannin Street, Suite #1700, Houston, Texas 77030
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.78428

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The association between varicoceles and male infertility has been known since the 1950s; however, the pathophysiology of the process remains uncertain. The primary proposed hypotheses involve hyperthermia, venous pressure, testicular blood flow, hormonal imbalance, toxic substances, and reactive oxygen species. It is difficult to identify a single or dominant factor, and it is likely that many of these factors contribute to the infertile phenotype seen in clinical practice. Moreover, patient lifestyle and genetic factors likely affect patient susceptibilities to the varicocele insult. While the current studies have weaknesses, they provide building blocks for futures studies into the pathophysiology of the varicocele.


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