Evidence map›Paper›PMID 40583022›Full record

ArticleThe world journal of men's health2026

Impact of Varicocele on Pregnancy and Live Birth Outcomes in Men with Clinical Varicocele: Systematic Review of Controlled Studies.

Rossella Cannarella, Selahittin Çayan, Carlo Giulioni, Gokhan Çeker, Keerti Singh, Kareim Khalafalla, Amarnath Rambhatla, Raisa Galstyan, Shalaka Ramgir-Naidu, Logan Hubbard and 16 more

Abstract read
In one paragraph

Article in The world journal of men's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

26 authors.

Rossella Cannarella *Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0003-4599-8487
Selahittin Çayan *Global Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-4784-2208
Carlo GiulioniGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0001-9934-4011
Gokhan ÇekerGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-7891-9450
Keerti SinghGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0001-7532-1229
Kareim KhalafallaGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0001-9476-4869
Amarnath RambhatlaGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-1383-6670
Raisa GalstyanGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-9738-5087
Shalaka Ramgir-NaiduGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0001-8065-6154
Logan HubbardGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-0115-6870
Iman ShamohammadiGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-9955-6257
Kavindra Kumar KesariGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-3622-9555
Faiza RaoGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-1054-4939
Archana SubarmaniuanGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-4147-5523
Vijay KumarGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-3768-8104
Donny E PutraGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0009-0004-8621-8875
Dharani MoorthvGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-2216-6901
Ayad PalaniGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0001-7806-9903
Murat DursunGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0001-9115-7203
Edoardo PescatoriGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-9326-5598
Ramadan SalehGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-0503-3533
Taras ShatylkoGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-3902-9236
Widi AtmokoGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-7793-7083
Armand ZiniGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-2194-5578
Rupin ShahGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0002-7868-5949
Ashok AgarwalGlobal Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.ORCID https://orcid.org/0000-0003-0585-1026

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the impact of varicocele on pregnancy and live birth outcomes in men with clinical varicocele in controlled studies. MATERIALS AND

methodsA comprehensive literature search was conducted across the PubMed and Scopus databases using Boolean operators, covering all available records from each database's inception through June 30, 2024. The inclusion criteria focused on controlled studies that compared pregnancy-related outcomes-including pregnancy, miscarriage, and live birth rates-between men with clinical varicocele and those without. These studies included participants attempting conception either spontaneously or through assisted reproductive techniques.

resultsOut of 3,532 articles screened, only two controlled studies met the inclusion criteria. The findings revealed no significant differences between men with and without varicocele in terms of time to achieve pregnancy (5.3

conclusionsThe relationship between varicocele and conception remains contentious, primarily due to the limited number of controlled studies available for analysis. Despite an extensive systematic search for controlled studies comparing pregnancy-related outcomes in men with and without clinical varicocele, only two studies met the inclusion criteria. These studies showed no significant differences in time to achieve pregnancy or previous conception rates between the two groups. However, men with varicocele exhibited a slightly lower, statistically significant, live birth rate compared to men without varicocele. This highlights the need for further research on this topic to provide evidence-based guidance on the impact of varicocele on fertility outcomes.

Indexed as

Infertility, maleLive birthPregnancySpermatozoaVaricocele

Identifiers

PMID40583022
PMCPMC13036255

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Registered trials

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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.