astmedАстраханский медицинский журналAstrakhan medical journal1992-6499ФГБОУ ВО Астраханский ГМУ Минздрава России10.29039/1992-6499-2023-1-6-16astmed-228Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWSВарикоцеле как фактор нарушения сперматогенеза и снижения мужской фертильностиVaricocele as a factor of violation of spermatogenesis and decrease in male fertilityБайчоровЭ. Х.BaichorovE. H.

Энвер Хусейнович Байчоров, доктор медицинских наук, профессор, главный хирург, заведующий кафедрой

кафедра хирургии и эндохирургии с курсом сосудистой хирургии и ангиологии

Ставрополь

Enver H. Baichorov, Dr. Sci. (Med.), Professor, Chief Surgeon, Head of Department

Stavropol

enverb@yandex.ruПанченкоР. И.PanchenkoR. I.

Родион Игоревич Панченко, врач-уролог-андролог, аспирант

кафедра хирургии и эндохирургии с курсом сосудистой хирургии и ангиологии

Ставрополь

 

Rodion I. Panchenko, urologist-andrologist, post-graduate student

Stavropol

Panch279@gmail.comСтавропольский государственный медицинский университет; Министерство здравоохранения Ставропольского краяРоссияStavropol State Medical University; Ministry of Health of the Stavropol TerritoryRussian FederationСтавропольский государственный медицинский университет; Государственное автономное учреждение здравоохранения Ставропольского края «Краевой клинический специализированный уроандрологический центр»РоссияStavropol State Medical University; Regional Clinical Specialized Uroandrological CenterRussian Federation202328042023181616Copyright © Байчоров Э.Х., Панченко Р.И., 20232023Байчоров Э.Х., Панченко Р.И.Baichorov E.H., Panchenko R.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.astmedj.ru/jour/article/view/228

   На протяжении многих лет в центре внимания отечественных и зарубежных урологов-андрологов находится проблема лечения пациентов с варикоцеле. Результаты исследований позволяют утверждать, что эта патология широко распространена и не имеет тенденции к снижению, являясь одной из основных причин субфертильности или бесплодия. В масштабах Российской Федерации эта ситуация имеет особую значимость с точки зрения сложившихся отрицательных демографических тенденций. Анализ проблемы, в который вошло 60 литературных источников (11 отечественных и 49 иностранных), показал, что вопросы этиологии, патогенеза и лечения варикоцеле остаются предметом научных дискуссий. Лечение варикоцеле и его рецидива направлено, в первую очередь, на профилактику или восстановление уже имеющихся нарушений репродуктивной функции, восстановление фертильности с учетом минимизации вероятности рецидива и осложнений.

   For many years, the focus of attention of domestic and foreign urologists andrologists is the problem of patients with varicocele. The results of the research suggest that varicocele is widespread in the male population, and does not have a tendency to decrease, being one of the main causes of subfertility or infertility that in the scale of the Russian Federation are of particular importance in terms of the prevailing negative demographic trends. When writing the article, 60 literary sources were processed, of which 11 are domestic, 49 are foreign. Analysis of literary sources shows that all questions of the etiology, pathogenesis and treatment of varicocele remain the subject of debate. Treatment of varicocele, its recurrence is aimed primarily at preventing disorders or restoring existing reproductive disorders, restoration of fertility, minimizing the likelihood of relapse and complications.

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The authors declare that there are no conflicts of interest present.