Pelvines Stauungssyndrom beim Mann – die Varicocele testis

Zusammenfassung

Die Varicocele testis ist Ausdruck des pelvinen Stauungssyndroms beim Mann. Sie hat grosse klinische Bedeutung, da sie die häufigste be-handelbare Ursache der männlichen Infertilität ist. Beim Heranwachsenden ist sie assoziiert mit Störungen der Hodenreifung, sodass eine frühzeitige Diagnosestellung und operative Sanierung notwendig sind. Der Pathomechanismus ist multifaktoriell, wobei hämodynamische Faktoren wahrscheinlich eine wichtige Rolle spielen.

Summary

The varicocele testis is the key symptome of the pelvic congestion syndrome in males. The idiopathic varicocele is mostly leftsided. While the pathomechanisms are multifactorial, the most important role can probably be attributed to hemodynamic factors. As the most common correctable cause for male infertility, the ideopathic varicocele is of great clinical importance. In the adolescent male, it is associated with impairment of testicular growth and maturation. An early diagnosis and operative treatment is therefore necessary. Various techniques are established for varicocelectomy with antegrade sclerotherapy frequently being the method of choice.

Schlüsselwörter

Pelvines Stauungssyndrom - idiopathische Varicocele testis - männliche Infertilität - antegrade Sklerotherapie

Keywords

Pelvic congestion syndrome - idiopathic varicocele testis - male infertility - antegrade sclerotherapy

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