Diagnosis dan Tata Laksana Varikokel

Authors

  • Nicholas Andrian Singgih RS Bhakti Asih, Brebes, Jawa Tengah, Indonesia

DOI:

https://doi.org/10.55175/cdk.v49i2.195

Keywords:

Infertilitas, verikokel

Abstract

Varikokel merupakan dilatasi abnormal dan pembesaran sistem vena pleksus pampiniformis dan vena testis dengan refluks darah vena secara terus-menerus ataupun intermiten. Modalitas pencitraan dapat digunakan untuk konfirmasi diagnosis varikokel. Varikokel merupakan salah satu penyebab infertilitas pada laki-laki. Tata laksana yang tepat akan meningkatkan parameter semen. Varikokelektomi dengan teknik bedah mikro efektif dengan tingkat rekurensi dan komplikasi yang rendah.

Varicocele is an abnormal dilatation and enlargement of the pampiniform plexus and testicular veins with continuous or intermittent venous reflux. Imaging modalities can confirm the diagnosis. Varicocele may cause male infertility; appropriate management may improve semen parameters. Varicocelectomy with microsurgical technique is effective with low recurrence and complication rate.

Downloads

Download data is not yet available.

References

Valentino M, Bertolotto M, Derchi L, Pavlica P. Children and adults varicocele: Diagnostic issues and therapeutical strategies. J Ultrasound. 2014;17(3):185–93.

McAninch JW, Lue TF. Smith & Tanagho’s general urology. 18th Ed. California: McGraw Hill; 2013.

Alsaikhan B, Alrabeeah K, Delouya G, Zini A. Epidemiology of varicocele. Asian J Androl. 2016;18(2):179–81.

Macey MR, Owen RC, Ross SS, Coward RM. Best practice in the diagnosis and treatment of varicocele in children and adolescents. Ther Adv Urol. 2018;10(9):273–82.

Roque M, Esteves SC. A systematic review of clinical practice guidelines and best practice statements for the diagnosis and management of varicocele in children and adolescents. Asian J Androl. 2016;18(2):262–8.

Leslie SW, Sajjad H, Siref LE. Varicocele. In: StatPearls. Treasure Island (FL): StatPearlsPublishing; 2021.

Hassanin AM, Ahmed HH, Kaddah AN. A global view of the pathophysiology of varicocele. Andrology 2018;6(5):654–61.

Vanlangenhove P, Dhondt E, Everaert K, Defreyne L. Pathophysiology, diagnosis and treatment of varicoceles: A review. Minerva Urol Nefrol. 2014;66:257-82

Lomboy JR, Coward RM. The varicocele: Clinical presentation, evaluation, and surgical management. Semin Intervent Radiol. 2016;33(3):163–9.

Paick S, Choi WS. Varicocele and testicular pain: A review. World J Mens Health. 2019;37(1):4–11.

Belay RE, Huang GO, Shen JKC, Ko EYK. Diagnosis of clinical and subclinical varicocele: How has it evolved? Asian J Androl. 2016;18(2):182–5.

Choi WS, Kim SW. Current issues in varicocele management: A review. World J Mens Health. 2013;31(1):12–20.

Pauroso S, Di Leo N, Fulle I, Di Segni M, Alessi S, Maggini E. Varicocele: Ultrasonographic assessment in daily clinical practice. J Ultrasound. 2011;14(4):199–204

Sarteschi M, Paoli R, Bianchini M, Menchini Fabris GF. Lo studio del varicocele con eco-color-Doppler. Giornale Italiano di Ultrasonologia. 1993;4:43–9.

Dubin L, Amelar RD. Varicocele size and results of varicocelectomy in selected subfertile men with varicocele. Fertil Steril. 1970;21:606-9.

Shridharani A, Owen RC, Elkelany OO, Kim ED. The significance of clinical practice guidelines on adult varicocele detection and management. Asian J Androl. 2016;18(2):269–75.

Chan P. Management options of varicoceles. Indian J Urol. 2011;27(1):65–73

Halpern J, Mittal S, Pereira K, Bhatia S, Ramasamy R. Percutaneous embolization of varicocele: Technique, indications, relative contraindications, and complications. Asian J Androl. 2016;18(2):234–8.

European Association of Urology. EAU guidelines on male infertility. 2019.

American Urological Association. Report on varicocele and infertility. 2001

Downloads

Published

01-02-2022

How to Cite

Singgih, N. A. (2022). Diagnosis dan Tata Laksana Varikokel. Cermin Dunia Kedokteran, 49(2), 78–81. https://doi.org/10.55175/cdk.v49i2.195

Issue

Section

Articles