Consensus and Diversity in the Management of Varicocele for Male Infertility: Results of a Global Practice Survey and Comparison with Guidelines and Recommendations

Author:

Shah Rupin1ORCID,Agarwal Ashok2ORCID,Kavoussi Parviz3ORCID,Rambhatla Amarnath4ORCID,Saleh Ramadan5ORCID,Cannarella Rossella6ORCID,Harraz Ahmed M.789ORCID,Boitrelle Florence1011ORCID,Kuroda Shinnosuke2ORCID,Hamoda Taha Abo-Almagd Abdel-Meguid1213ORCID,Zini Armand14ORCID,Ko Edmund15ORCID,Calik Gokhan16ORCID,Toprak Tuncay17ORCID,Kandil Hussein18ORCID,Gül Murat19ORCID,Bakırcıoğlu Mustafa Emre20ORCID,Parekh Neel21ORCID,Russo Giorgio Ivan22ORCID,Tadros Nicholas23ORCID,Kadioglu Ates24ORCID,Arafa Mohamed22526ORCID,Chung Eric27ORCID,Rajmil Osvaldo28ORCID,Dimitriadis Fotios29ORCID,Malhotra Vineet30ORCID,Salvio Gianmaria31ORCID,Henkel Ralf3233ORCID,Le Tan V.3435ORCID,Sogutdelen Emrullah36ORCID,Vij Sarah21ORCID,Alarbid Abdullah8ORCID,Gudeloglu Ahmet37ORCID,Tsujimura Akira38ORCID,Calogero Aldo E.6ORCID,Meliegy Amr El39ORCID,Crafa Andrea6ORCID,Kalkanli Arif40ORCID,Baser Aykut41ORCID,Hazir Berk42ORCID,Giulioni Carlo43ORCID,Cho Chak-Lam44ORCID,Ho Christopher C.K.45ORCID,Salzano Ciro46ORCID,Zylbersztejn Daniel Suslik47ORCID,Tien Dung Mai Ba34ORCID,Pescatori Edoardo48ORCID,Borges Edson49ORCID,Serefoglu Ege Can50ORCID,Saïs-Hamza Emine1011ORCID,Huyghe Eric51ORCID,Ceyhan Erman52ORCID,Caroppo Ettore53ORCID,Castiglioni Fabrizio54ORCID,Bahar Fahmi55ORCID,Gokalp Fatih56ORCID,Lombardo Francesco57ORCID,Gadda Franco58ORCID,Duarsa Gede Wirya Kusuma59ORCID,Pinggera Germar-Michael60ORCID,Busetto Gian Maria61ORCID,Balercia Giancarlo31ORCID,Cito Gianmartin62ORCID,Blecher Gideon6364ORCID,Franco Giorgio65ORCID,Liguori Giovanni66ORCID,Elbardisi Haitham2567ORCID,Keskin Hakan37ORCID,Lin Haocheng68ORCID,Taniguchi Hisanori69ORCID,Park Hyun Jun7071ORCID,Ziouziou Imad72ORCID,de la Rosette Jean73ORCID,Hotaling Jim74ORCID,Ramsay Jonathan75ORCID,Molina Juan Manuel Corral76ORCID,Lo Ka Lun77ORCID,Bocu Kadir78ORCID,Khalafalla Kareim2579ORCID,Bowa Kasonde80ORCID,Okada Keisuke81ORCID,Nagao Koichi82ORCID,Chiba Koji81ORCID,Hakim Lukman83ORCID,Makarounis Konstantinos84ORCID,Hehemann Marah85ORCID,Peña Marcelo Rodriguez86ORCID,Falcone Marco87ORCID,Bendayan Marion1011ORCID,Martinez Marlon88ORCID,Timpano Massimiliano87ORCID,Altan Mesut89ORCID,Fode Mikkel9091ORCID,Al-Marhoon Mohamed S.92ORCID,Gilani Mohammad Ali Sadighi93ORCID,Soebadi Mohammad Ayodhia94ORCID,Gherabi Nazim95ORCID,Sofikitis Nikolaos96ORCID,Kahraman Oğuzhan52ORCID,Birowo Ponco97ORCID,Kothari Priyank98ORCID,Sindhwani Puneet99ORCID,Javed Qaisar100ORCID,Ambar Rafael F.101102ORCID,Kosgi Raghavender103ORCID,Ghayda Ramy Abou104ORCID,Adriansjah Ricky105ORCID,Condorelli Rosita Angela6ORCID,Vignera Sandro La6ORCID,Micic Sava106ORCID,Kim Shannon Hee Kyung107108ORCID,Fukuhara Shinichiro109ORCID,Ahn Sun Tae110ORCID,Mostafa Taymour39ORCID,Ong Teng Aik111ORCID,Takeshima Teppei112ORCID,Amano Toshiyasu113ORCID,Barrett Trenton114ORCID,Arslan Umut17ORCID,Karthikeyan Vilvapathy Senguttuvan115ORCID,Atmoko Widi103ORCID,Yumura Yasushi112ORCID,Yuan Yiming116ORCID,Kato Yuki117ORCID,Jezek Davor118ORCID,Cheng Bryan Kwun-Chung119ORCID,Hatzichristodoulou Georgios120ORCID,Dy Jun121ORCID,Castañé Eduard Ruiz122ORCID,El-Sakka Ahmed I.123ORCID,Nguyen Quang124125ORCID,Sarikaya Selcuk126ORCID,Boeri Luca58ORCID,Tan Ronny127128ORCID,Moussa Mohamad A.129130ORCID,El-Assmy Ahmed7ORCID,Alali Hamed131ORCID,Alhathal Naif132ORCID,Osman Yasser7ORCID,Perovic Dragoljub133ORCID,Sajadi Hesamoddin98ORCID,Akhavizadegan Hamed134ORCID,Vučinić Miroslav135ORCID,Kattan Said132ORCID,Kattan Mohamed S.132ORCID,Mogharabian Nasser136ORCID,Phuoc Nguyen Ho Vinh34ORCID,Ngoo Kay Seong137ORCID,Alkandari Mohammad H.138ORCID,Alsuhaibani Shaheed139ORCID,Sokolakis Ioannis120ORCID,Babaei Mehdi140ORCID,King Mak Siu77ORCID,Diemer Thorsten141ORCID,Gava Marcelo M.101102ORCID,Henrique Raphael142ORCID,Silva Rodrigo Spinola e101102ORCID,Paul Gustavo Marquesine143ORCID,Mierzwa Tiago Cesar144ORCID,Glina Sidney101ORCID,Siddiqi Kashif145ORCID,Wu Han146ORCID,Wurzacher Jana147ORCID,Farkouh Ala’a2ORCID,Son Hwancheol148ORCID,Minhas Suks149ORCID,Lee Joe150ORCID,Magsanoc Nikko151ORCID,Capogrosso Paolo152ORCID,Albano German Jose88ORCID,Lewis Sheena E. M.153ORCID,Jayasena Channa N.154155ORCID,Alvarez Juan G.156ORCID,Teo Colin157ORCID,Smith Ryan P.158ORCID,Chua Jo Ben M.159ORCID,Jensen Christian Fuglesang S.160ORCID,Parekattil Sijo161ORCID,Finelli Renata2ORCID,Durairajanayagam Damayanthi162ORCID,Karna Keshab Kumar2ORCID,Ahmed Abdelkareem9ORCID,Evenson Don163ORCID,Umemoto Yukihiro164ORCID,Puigvert Ana165ORCID,Çeker Gökhan166167ORCID,Colpi Giovanni M168ORCID,

Affiliation:

1. Division of Andrology, Department of Urology, Lilavati Hospital and Research Centre, Mumbai, India.

2. American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA.

3. Austin Fertility & Reproductive Medicine/Westlake IVF, TX, USA.

4. Department of Urology, Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA.

5. Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Sohag University, Sohag, Egypt.

6. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

7. Mansoura University Urology and Nephrology Center, Mansoura, Egypt.

8. Department of Surgery, Urology Unit, Farwaniya Hospital, Farwaniya, Kuwait.

9. Department of Urology, Sabah Al Ahmad Urology Center, Kuwait City, Kuwait.

10. Department of Reproductive Biology, Fertility Preservation, Andrology, CECOS, Poissy Hospital, Poissy, France.

11. Department of Biology, Reproduction, Epigenetics, Environment and Development, Paris Saclay University, UVSQ, INRAE, BREED, Jouy-en-Josas, France.

12. Department of Urology, King Abdulaziz University, Jeddah, Saudi Arabia.

13. Department of Urology, Faculty of Medicine, Minia University, Minia, Egypt.

14. Division of Urology, Department of Surgery, McGill University, Montreal, QC, Canada.

15. Department of Urology, Loma Linda University Health, Loma Linda, CA, USA.

16. Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.

17. Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

18. Fakih IVF Fertility Center, Abu Dhabi, UAE.

19. Department of Urology, Selcuk University School of Medicine, Konya, Turkey.

20. SENSART Clinic, Istanbul, Turkey.

21. Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

22. Urology Section, University of Catania, Catania, Italy.

23. Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.

24. Section of Andrology, Department of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.

25. Department of Urology, Hamad Medical Corporation, Doha, Qatar.

26. Department of Urology, Weill Cornell Medical-Qatar, Doha, Qatar.

27. Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, Australia.

28. Department of Andrology, Fundacio Puigvert, Barcelona, Spain.

29. Department of Urology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

30. SCM Clinic and Hospital, New Delhi, India.

31. Department of Endocrinology, Polytechnic University of Marche, Ancona, Italy.

32. Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.

33. Department of Medical Bioscience, University of the Western Cape, Bellville, South Africa.

34. Department of Andrology, Binh Dan Hospital, Ho Chi Minh City, Vietnam.

35. Department of Urology and Andrology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.

36. Department of Urology, Bolu Abant Izzet Baysal University, Bolu, Turkey.

37. Department of Urology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

38. Department of Urology, Juntendo University Urayasu Hospital, Chiba, Japan.

39. Department of Andrology, Sexology and STIs, Faculty of Medicine, Cairo University, Cairo, Egypt.

40. Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey.

41. Department of Urology, Faculty of Medicine, Bandırma Onyedi Eylül University, Balıkesir, Turkey.

42. Reproductive medicine, Clinical Research Centre, Lund University, Malmö, Sweden.

43. Department of Urology, Polytechnic University of Marche Region, Ancona, Italy.

44. S. H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

45. Department of Urology, Universiti Teknologi Mara (UiTM) Specialist Centre, Selangor, Malaysia.

46. PO San Giovanni Bosco, ASL Napoli 1 Centro, Napoli, Italy.

47. Fleury Group and Hospital Israelita Albert Einstein, São Paulo, Brazil.

48. Andrology and Reproductive Medicine Unit, Gynepro Medical, Bologna, Italy.

49. Fertility Medical Group, São Paulo, Brazil.

50. Department of Urology, Biruni University School of Medicine, Istanbul, Turkey.

51. Department of Urology and Andrology, University Hospital of Toulouse, France.

52. Department of Urology, School of Medicine, Baskent University, Konya, Turkey.

53. Asl Bari, PTA “F Jaia”, Reproductive and IVF unit, Andrology Outpatients Clinic, Asl Bari, Conversano (Ba), Italy.

54. Andrology Unit, ART Center - San Carlo Clinic, Paderno Dugnano, Milan, Italy.

55. Andrology Section, Siloam Sriwijaya Hospital, Palembang, Indonesia.

56. Department of Urology, Hatay Mustafa Kemal University, Antakya, Turkey.

57. Laboratory of Seminology—Sperm Bank “Loredana Gandini”, Department of Experimental Medicine, University of Rome “Sapienza”, Rome, Italy.

58. Department of Urology, IRCCS Fondazione Ca Granda Ospedale Maggiore Policlinico, Milan, Italy.

59. Department of Urology, School of Medicine, Udayana University, Denpasar, Indonesia.

60. Department of Urology, Innsbruck Medical University, Innsbruck, Austria.

61. Department of Urology and Organ Transplantation, University of Foggia, Ospedali Riuniti of Foggia, Foggia, Italy.

62. Department of Urology, University of Florence, Florence, Italy.

63. Department of Surgery, School of Clinical Sciences, Monash University, Melbourne, Australia.

64. Department of Urology, The Alfred Hospital, Melbourne, Australia.

65. Department of Urology, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

66. Department of Urology, University of Trieste, Trieste, Italy.

67. Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar.

68. Department of Urology, Peking University Third Hospital, Peking University, Beijing, China.

69. Department of Urology and Andrology, Kansai Medical University, Hirakata, Osaka, Japan.

70. Department of Urology, Pusan National University School of Medicine, Busan, Korea.

71. Medical Research Institute of Pusan National University Hospital, Busan, Korea.

72. Department of Urology, College of medicine and pharmacy, Ibn Zohr University, Agadir, Morocco.

73. Department of urology, Faculty of Medicine, Istanbul Medipol Mega University Hospital, Istanbul, Turkey.

74. Department of Surgery (Urology), University of Utah, Salt Lake City, UT, USA.

75. Department of Andrology, Hammersmith Hospital, Imperial, London, UK.

76. Servicio de Urología, Hospital Clínico de Barcelona, Barcelona, Spain.

77. Division of Urology, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

78. Department of Urology, Silopi State Hospital, Sirnak, Turkey.

79. Department of Urology, University of Illinois, Chicago, IL, USA.

80. Department of Urology, School of Medicine and Health Sciences, University of Lusaka, Lusaka, Zambia.

81. Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

82. Department of Urology, Toho University Faculty of Medicine, Tokyo, Japan.

83. Department of Urology, Universitas Airlangga/Rumah Sakit Universitas Airlangga Teaching Hospital, Surabaya, Indonesia.

84. Department of Urology and Andrology, Locus Medicus, Athens, Greece.

85. Department of Urology, University of Washington, Seattle, WA, USA.

86. Instituto de Ginecología y Fertilidad (IFER), Universidad de Buenos Aires, Buenos Aires, Argentina.

87. Department of Urology, Molinette Hospital, A.O.U. Città della Salute e della Scienza, University of Turin, Torino, Italy.

88. Section of Urology, Department of Surgery, University of Santo Tomas Hospital, Manila, Philippines.

89. Department of Urology, Haceppete University, Ankara, Turkey.

90. Department of Urology, Herlev and Gentofte University Hospital, Copenhagen, Denmark.

91. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

92. Department of Surgery, Urology Division, Sultan Qaboos University, Muscat, Oman.

93. Department of Andrology, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.

94. Department of Urology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

95. Andrology Committee of the Algerian Association of Urology, Algiers, Algeria.

96. Department of Urology, Ioannina University School of Medicine, Ioannina, Greece.

97. Department of Urology, Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

98. B.Y.L Nair Ch Hospital, Mumbai, India.

99. Department of Urology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

100. Department of Urology, Al - Ahlia Hospital Abu Dhabi UAE, Abu Dhabi, UAE.

101. Department of Urology, Centro Universitario em Saude do ABC, Santo André, Brazil.

102. Andrology Group at Ideia Fertil Institute of Human Reproduction, Santo André, Brazil.

103. Department of Urology and Andrology, AIG Hospitals, Hyderabad, Telangana, India.

104. Urology Institute, University Hospitals, Case Western Reserve University, Cleveland, OH, USA.

105. Department of Urology, Faculty of Medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Banding, Indonesia.

106. Department of Andrology, Uromedica Polyclinic, Belgrade, Serbia.

107. IVF Australia, Sydney, New South Wales, Australia.

108. Macquarie School of Medicine, Macquaire University, Sydney, New South Wales, Australia.

109. Department of Urology, Graduate School of Medicine, Osaka University, Osaka, Japan.

110. Department of Urology, Korea University College of Medicine, Seoul, Korea.

111. Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

112. Department of Urology, Reproduction Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.

113. Department of Urology, Nagano Red Cross Hospital, Nagano, Japan.

114. Perth Urology Clinic, Perth, WA, Australia.

115. Andrology Unit, Department of Urology, Apollo Hospitals, Greams Road, Chennai, India.

116. Andrology Center & Urology Department, Peking University First Hospital, Peking University, Beijing, China.

117. Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.

118. Department for Transfusion Medicine and Transplantation Biology, Reproductive Tissue Bank, University of Zagreb, School of Medicine, University Hospital Zagreb, Zagreb, Croatia.

119. Department of Surgery, United Christian Hospital, Hong Kong, China.

120. Department of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany.

121. Stone and Prostate Treatment Services/Pelvic Floor Center and Anorectal Diseases, St. Luke’s Medical Center, Quezon City, Metro Manila, Philippines.

122. Department of Andrology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain.

123. Department of Urology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

124. Center for Andrology and Sexual Medicine, Viet Duc University Hospital, Hanoi, Vietnam.

125. Department of Urology, Andrology and Sexual Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.

126. Department of Urology, Gülhane Research and Training Hospital, University of Health Sciences, Ankara, Turkey.

127. Advanced Urology Associates, Singapore.

128. Mount Elizabeth Hospital, Singapore.

129. Department of Urology, Lebanese University, Beirut, Lebanon.

130. Department of Urology, Al Zahraa Hospital, UMC, Lebanon.

131. King Fahad Specialist Hospital, Dammam, Saudi Arabia.

132. King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

133. Urology and Andrology Center, CODRA Hospital, University of Montenegro, Podgorica, Montenegro.

134. Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

135. Department of Urology, Užice General Hospital, Zlatibor, Serbia.

136. Sexual Health and Fertility Research Center, Shahroud University of Medical Sciences, Shahroud, Iran.

137. Urology Unit, Department of Surgery, Hospital Angkatan Tentera Tuanku Mizan, Kuala Lumpur, Malaysia.

138. Department of Urology, Mubarak Al-Kabeer Teaching Hospital, Kuwait University, Jabriya, Kuwait.

139. Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

140. Department of Andrology, Shariati Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

141. Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University Giessen (GER), University Hospital Giessen and Marburg GmbH, Campus Giessen, Giessen, Germany.

142. Santa Casa de Ribeirão Preto, Ribeirão Preto, Brazil.

143. Department of Urology, Hospital de Clínicas of the Federal University of Paraná, Curitiba, Brazil.

144. Androlab, Fertility Clinic, Curitiba, Brazil.

145. Department of Urology, Cleveland Clinic, Abu Dhabi, UAE.

146. Department of Andrology, PKU 3rd Hospital Reproductive Medicine Center, Beijing, China.

147. Department of Urology, University Hospital Innsbruck, Innsbruck, Austria.

148. Department of Urology, SMG-SNU Boramae Medical Center, Seoul, Korea.

149. Division of Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.

150. Department of Urology, National University Hospital, Singapore.

151. Department of Surgery, University of the Philippines College of Medicine, Manila, Philippines.

152. Department of Urology, University of Insubria, Varese, Italy.

153. Examenlab Ltd., Northern Ireland, UK.

154. Department of Reproductive Endocrinology and Andrology, Imperial College London, London, UK.

155. Department of Andrology, Hammersmith & St. Mary’s Hospitals, London, UK.

156. Department of Andrology, Centro ANDROGEN, La Coruña, Spain.

157. Department of Urology, Gleneagles Hospital, Singapore.

158. Department of Urology, University of Virginia School of Medicine, Virginia, USA.

159. Department of Urology, East Avenue Medical Center, Quezon City, Philippines.

160. Department of Urology, Copenhagen University Hospital - Herlev and Gentofte Hospital, Herlev, Denmark.

161. Avant Concierge Urology & University of Central Florida, Winter Garden, FL, USA.

162. Department of Physiology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia.

163. SCSA Diagnostics, Brookings, SD, USA.

164. Department of Nephro-Urology, Nagoya City West Medical Center, Nagoya, Japan.

165. Urological and Human Reproduction Unit, Quiron Hospital, Barcelona, Spain.

166. Department of Urology, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.

167. Department of Embryology and Histology, Zonguldak Bülent Ecevit University Institute of Health Sciences, Zonguldak, Turkey.

168. Next Fertility Procrea, Lugano, Switzerland.

Publisher

Korean Society for Sexual Medicine and Andrology

Subject

Pharmacology (medical),Urology,Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Health Policy,Aging,Reproductive Medicine

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