【摘 要】
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Dear Editor,rnVaricocele is a common cause of male infertility,but in the course of a diagnostic infertility workup,other underlying problems are often found.Up to two-thirds of patients with nonidiopathic male infertility have at least two possible etiol
【机 构】
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Department of Urology, Medical University of Warsaw, Warsaw 02-005, Poland;First Department of Anest
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Dear Editor,rnVaricocele is a common cause of male infertility,but in the course of a diagnostic infertility workup,other underlying problems are often found.Up to two-thirds of patients with nonidiopathic male infertility have at least two possible etiologies.1 Testicular cancer of the contralateral testis is sometimes one of these etiologies.Hormonal problems must not be overlooked.Microsurgical varicocelectomy,either subinguinal microsurgical varicocelectomy (SMVL) or more invasive inguinal microsurgical varicocelectomy,is considered the gold standard in varicocele treatment.2,3 This technique,especially using a micro-Doppler probe,4 allows preservation of the arterial supply of the testis.This is crucial for maintaining and improvement of hormonal and reproductive function.We report a case of SMVL of a solitary testicle after previous contralateral orchidectomy for cancer in the treatment of infertility and low testosterone levels.
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