Evidence map›Paper›PMID 36326166›Full record

ArticleThe world journal of men's health2023

Impact of Varicocele Repair on Semen Parameters in Infertile Men: A Systematic Review and Meta-Analysis.

Ashok Agarwal, Rossella Cannarella, Ramadan Saleh, Florence Boitrelle, Murat Gül, Tuncay Toprak, Gianmaria Salvio, Mohamed Arafa, Giorgio I Russo, Ahmed M Harraz and 49 more

Open access · diamondAbstract read
In one paragraph

Article in The world journal of men's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  12. Recent Trends in the Management of Varicocele.Journal of clinical medicine · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

59 authors at 20 institutions in 27 countries.

Ashok AgarwalGlobal Andrology Forum, American Center for Reproductive Medicine, Moreland Hills, OH, USA. agarwaa32099@outlook.com.ORCID https://orcid.org/0000-0003-0585-1026
Rossella CannarellaDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0003-4599-8487
Ramadan SalehDepartment of Dermatology, Venereology and Andrology, Faculty of Medicine, Sohag University, Sohag, Egypt.ORCID https://orcid.org/0000-0003-0503-3533
Florence BoitrelleDepartment of Reproductive Biology, Fertility Preservation, Andrology, CECOS, Poissy Hospital, Poissy, France.ORCID https://orcid.org/0000-0002-5322-0141
Murat GülDepartment of Urology, Selcuk University School of Medicine, Konya, Türkiye.ORCID https://orcid.org/0000-0002-6657-6227
Tuncay ToprakDepartment of Urology, Fatih Sultan Mehmet Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.ORCID https://orcid.org/0000-0003-1348-5273
Gianmaria SalvioDepartment of Endocrinology, Polytechnic University of Marche, Ancona, Italy.ORCID https://orcid.org/0000-0001-9290-5699
Mohamed ArafaDepartment of Urology, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-0107-8857
Giorgio I RussoUrology Section, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0003-4687-7353
Ahmed M HarrazMansoura University Urology and Nephrology Center, Mansoura, Egypt.ORCID https://orcid.org/0000-0002-8902-517X
Rajender SinghDivision of Endocrinology, Central Drug Research Institute, Lucknow, India.ORCID https://orcid.org/0000-0002-4592-6566
Nicolas GarridoIVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), Valencia, Spain.ORCID https://orcid.org/0000-0001-8271-5218
Taha Abo-Almagd Abdel-Meguid HamodaDepartment of Urology, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0002-8070-4088
Amarnath RambhatlaDepartment of Urology, Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA.ORCID https://orcid.org/0000-0002-1383-6670
Parviz KavoussiAustin Fertility & Reproductive Medicine/Westlake IVF, Austin, TX, USA.ORCID https://orcid.org/0000-0001-7390-5837
Shinnosuke KurodaGlickman Urological & Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID https://orcid.org/0000-0001-8890-0297
Gökhan ÇalikDepartment of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-9976-9666
Pallavi SainiDivision of Endocrinology, Central Drug Research Institute, Lucknow, India.ORCID https://orcid.org/0000-0003-0072-5573
Erman CeyhanDepartment of Urology, Baskent University Faculty of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-8223-6399
Fotios DimitriadisDepartment of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID https://orcid.org/0000-0003-1198-9144
Ralf HenkelDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-1128-2982
Andrea CrafaDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0002-8311-9095
Ayad PalaniResearch Centre, University of Garmian, Kalar, Iraq.ORCID https://orcid.org/0000-0001-7806-9903
Mesut Berkan DuranDepartment of Urology, School of Medicine, Pamukkale University, Denizli, Türkiye.ORCID https://orcid.org/0000-0002-8597-2081
Evangelos MaziotisLaboratory of Physiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-6717-166X
Émine SaïsDepartment of Reproductive Biology, Fertility Preservation, Andrology, CECOS, Poissy Hospital, Poissy, France.ORCID https://orcid.org/0000-0002-4937-8974
Marion BendayanDepartment of Reproductive Biology, Fertility Preservation, Andrology, CECOS, Poissy Hospital, Poissy, France.ORCID https://orcid.org/0000-0003-1633-7735
Mahsa DarbandiFetal Health Research Center, Hope Generation Foundation, Tehran, Iran.ORCID https://orcid.org/0000-0002-2243-9319
Tan V LeDepartment of Andrology, Binh Dan Hospital, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0003-1766-7453
Sezgin GunesDepartment of Medical Biology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Türkiye.ORCID https://orcid.org/0000-0002-3103-6482
Petroula TsioulouLaboratory of Physiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-3535-8227
Pallav SenguptaDepartment of Biomedical Sciences, College of Medicine, Gulf Medical University, Ajman, UAE.ORCID https://orcid.org/0000-0002-1928-5048
Berk HazirReproductive Medicine, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-8907-8781
Gökhan ÇekerDepartment of Urology, Başakşehir Çam and Sakura City Hospital, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-7891-9450
Sara DarbandiFetal Health Research Center, Hope Generation Foundation, Tehran, Iran.ORCID https://orcid.org/0000-0002-1868-6712
Damayanthi DurairajanayagamDepartment of Physiology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-9049-0215
Azin AghamajidiDepartment of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-5904-5260
Noora AlkhalidiDepartment of Internal Medicine, Trinity Health/Mercy Health, Muskegon, MI, USA.ORCID https://orcid.org/0000-0003-1106-6606
Emrullah SogutdelenDepartment of Urology, Bolu Abant Izzet Baysal University, Bolu, Türkiye.ORCID https://orcid.org/0000-0002-1454-5672
Kristian LeisegangSchool of Natural Medicine, Faculty of Community and Health Sciences, University of the Western Cape, Bellville, South Africa.ORCID https://orcid.org/0000-0002-3003-8048
Abdullah AlarbidDepartment of Surgery, Urology Unit, Farwaniya Hospital, Farwaniya, Kuwait.ORCID https://orcid.org/0000-0003-4822-9587
Christopher C K HoDepartment of Surgery, School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia.ORCID https://orcid.org/0000-0002-8757-6867
Vineet MalhotraDepartment of Urology and Andrology, VNA Hospital, New Delhi, India.ORCID https://orcid.org/0000-0001-6760-0885
Federica FinocchiDepartment of Endocrinology, Polytechnic University of Marche, Ancona, Italy.ORCID https://orcid.org/0000-0003-1551-5990
Luís CrisóstomoUnidade Multidisciplinar de Investigação Biomédica (UMIB), Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Porto, Portugal.ORCID https://orcid.org/0000-0002-9563-6364
Raghavender KosgiDepartment of Urology and Andrology, AIG Hospitals, Gachibowli, Hyderabad, India.ORCID https://orcid.org/0000-0002-2178-0857
Haitham ElBardisiDepartment of Urology, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-3902-7924
Armand ZiniDepartment of Surgery, McGill University, Montreal, QC, Canada.ORCID https://orcid.org/0000-0002-2194-5578
Ponco BirowoDepartment of Urology, Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.ORCID https://orcid.org/0000-0003-2934-6753
Giovanni ColpiAndrology and IVF Center, Next Fertility Procrea, Lugano, Switzerland.ORCID https://orcid.org/0000-0003-1431-1777
Hyun Jun ParkDepartment of Urology, Pusan National University School of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0003-0566-9574
Ege Can SerefogluDepartment of Urology, Biruni University School of Medicine, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-2530-7012
Quang NguyenCenter for Andrology and Sexual Medicine, Viet Duc University Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-1670-8885
Edmund KoDepartment of Urology, Loma Linda University Health, Loma Linda, CA, USA.ORCID https://orcid.org/0000-0002-7465-3616
Jean de la RosetteDepartment of Urology, Faculty of Medicine, Istanbul Medipol Mega University Hospital, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-6308-1763
Germar M PinggeraDepartment of Urology, Innsbruck Medical University, Innsbruck, Austria.ORCID https://orcid.org/0000-0001-6463-2494
Ho Vinh Phuoc NguyenDepartment of Andrology, Binh Dan Hospital, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-4348-6034
Hussein KandilFakih IVF Fertility Center, Abu Dhabi, UAE.ORCID https://orcid.org/0000-0002-5549-3274
Rupin ShahDivision of Andrology, Department of Urology, Lilavati Hospital and Research Centre, Mumbai, India.ORCID https://orcid.org/0000-0002-7868-5949
Université de Versailles Saint-Quentin-en-Yvelines · FRCentral Drug Research Institute · INCleveland Clinic · USIstanbul Medipol University · TRMarche Polytechnic University · ITNational and Kapodistrian University of Athens · GRPham Ngoc Thach University of Medicine · VNUniversity of Catania · ITWeill Cornell Medical College in Qatar · QAAmerican Society for Reproductive Medicine · USAristotle University of Thessaloniki · GRAsian Institute of Gastroenterology · INBaşkent University · TRBiruni University · TRBolu Abant İzzet Baysal University · TRBülent Ecevit University · TRFarwaniya Hospital · KWGulf Medical University · AEHenry Ford Health System · USImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite the significant role of varicocele in the pathogenesis of male infertility, the impact of varicocele repair (VR) on conventional semen parameters remains controversial. Only a few systematic reviews and meta-analyses (SRMAs) have evaluated the impact of VR on sperm concentration, total motility, and progressive motility, mostly using a before-after analytic approach. No SRMA to date has evaluated the change in conventional semen parameters after VR compared to untreated controls. This study aimed to evaluate the effect of VR on conventional semen parameters in infertile patients with clinical varicocele compared to untreated controls. MATERIALS AND

methodsA literature search was performed using Scopus, PubMed, Embase, and Cochrane databases following the Population Intervention Comparison Outcome (PICOS) model (Population: infertile patients with clinical varicocele; Intervention: VR [any technique]; Comparison: infertile patients with clinical varicocele that were untreated; Outcome: sperm concentration, sperm total count, progressive sperm motility, total sperm motility, sperm morphology, and semen volume; Study type: randomized controlled trials and observational studies).

resultsA total of 1,632 abstracts were initially assessed for eligibility. Sixteen studies were finally included with a total of 2,420 infertile men with clinical varicocele (1,424 patients treated with VR

conclusionsThis study provides a high level of evidence in favor of a positive effect of VR to improve conventional semen parameters in infertile men with clinical varicocele. To the best of our knowledge, this is the first SRMA to compare changes in conventional semen parameters after VR with changes in parameters of a control group over the same period. This is in contrast to other SRMAs which have compared semen parameters before and after VR, without reference to a control group. Our findings strengthen the available evidence and have a potential to upgrade professional societies' practice recommendations favoring VR to improve conventional semen parameters in infertile men.

Indexed as

Male infertilitySemenVaricocele

Identifiers

PMID36326166
PMCPMC10042659
OpenAlexW4308055780

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.