The significance of clinical practice guidelines on adult varicocele detection and management

Anand Shridharani, Ryan C. Owen, Osama O. Elkelany, Edward Kim

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varicocelectomy is weak and conflicting. The stance taken by the AUA and ASRM suggests that there is insufficient outcomes data to support evidenced-based guidelines, citing evidence used to provide current recommendations are generally of a low quality level. On the other hand, the EAU Guidelines give a level 1a of evidence for management of varicoceles that are clinically palpable, associated with subnormal semen analyses and having otherwise unexplained fertility. Besides aiding with clinical varicocele detection and management, clinical practice opinion statements and guidelines aim to direct and strengthen the infrastructure of future studies. We review the current status of opinion statements and guidelines in varicocele and management detection with focus on their application in practice.

Original languageEnglish (US)
Pages (from-to)269-275
Number of pages7
JournalAsian Journal of Andrology
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2016

Fingerprint

Varicocele
Practice Guidelines
Guidelines
Male Infertility
Fertility
Semen Analysis
Practice Management

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

The significance of clinical practice guidelines on adult varicocele detection and management. / Shridharani, Anand; Owen, Ryan C.; Elkelany, Osama O.; Kim, Edward.

In: Asian Journal of Andrology, Vol. 18, No. 2, 01.03.2016, p. 269-275.

Research output: Contribution to journalReview article

Shridharani, Anand ; Owen, Ryan C. ; Elkelany, Osama O. ; Kim, Edward. / The significance of clinical practice guidelines on adult varicocele detection and management. In: Asian Journal of Andrology. 2016 ; Vol. 18, No. 2. pp. 269-275.
@article{849c742f09f44cb9b206c32bb1d9c231,
title = "The significance of clinical practice guidelines on adult varicocele detection and management",
abstract = "Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varicocelectomy is weak and conflicting. The stance taken by the AUA and ASRM suggests that there is insufficient outcomes data to support evidenced-based guidelines, citing evidence used to provide current recommendations are generally of a low quality level. On the other hand, the EAU Guidelines give a level 1a of evidence for management of varicoceles that are clinically palpable, associated with subnormal semen analyses and having otherwise unexplained fertility. Besides aiding with clinical varicocele detection and management, clinical practice opinion statements and guidelines aim to direct and strengthen the infrastructure of future studies. We review the current status of opinion statements and guidelines in varicocele and management detection with focus on their application in practice.",
author = "Anand Shridharani and Owen, {Ryan C.} and Elkelany, {Osama O.} and Edward Kim",
year = "2016",
month = "3",
day = "1",
doi = "10.4103/1008-682X.172641",
language = "English (US)",
volume = "18",
pages = "269--275",
journal = "Asian Journal of Andrology",
issn = "1008-682X",
publisher = "Nature Publishing Group",
number = "2",

}

TY - JOUR

T1 - The significance of clinical practice guidelines on adult varicocele detection and management

AU - Shridharani, Anand

AU - Owen, Ryan C.

AU - Elkelany, Osama O.

AU - Kim, Edward

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varicocelectomy is weak and conflicting. The stance taken by the AUA and ASRM suggests that there is insufficient outcomes data to support evidenced-based guidelines, citing evidence used to provide current recommendations are generally of a low quality level. On the other hand, the EAU Guidelines give a level 1a of evidence for management of varicoceles that are clinically palpable, associated with subnormal semen analyses and having otherwise unexplained fertility. Besides aiding with clinical varicocele detection and management, clinical practice opinion statements and guidelines aim to direct and strengthen the infrastructure of future studies. We review the current status of opinion statements and guidelines in varicocele and management detection with focus on their application in practice.

AB - Varicoceles are the most common correctable etiology of male factor infertility. However, the detection and management of varicoceles have not been standardized. This has led to decades of debate regarding the effect of varicocele on male infertility and subsequently whether repair leads to an improved fertility status. The current body of evidence investigating the role of varicocele and varicocelectomy is weak and conflicting. The stance taken by the AUA and ASRM suggests that there is insufficient outcomes data to support evidenced-based guidelines, citing evidence used to provide current recommendations are generally of a low quality level. On the other hand, the EAU Guidelines give a level 1a of evidence for management of varicoceles that are clinically palpable, associated with subnormal semen analyses and having otherwise unexplained fertility. Besides aiding with clinical varicocele detection and management, clinical practice opinion statements and guidelines aim to direct and strengthen the infrastructure of future studies. We review the current status of opinion statements and guidelines in varicocele and management detection with focus on their application in practice.

UR - http://www.scopus.com/inward/record.url?scp=84957870436&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957870436&partnerID=8YFLogxK

U2 - 10.4103/1008-682X.172641

DO - 10.4103/1008-682X.172641

M3 - Review article

VL - 18

SP - 269

EP - 275

JO - Asian Journal of Andrology

JF - Asian Journal of Andrology

SN - 1008-682X

IS - 2

ER -