Fatores preditivos associados ao êxito na cirurgia de varicocele para a infertilidade
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Oct 31, 2024
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Resumo
Objetivo: Identificar na literatura científica fatores preditivos associados ao êxito na cirurgia de varicocele para infertilidade. Métodos: Revisão integrativa, com artigos publicados entre 2019 a 2023, nos idiomas português, inglês e espanhol e texto completo disponível. Utilizou-se como questão norteadora: Quais são os fatores preditivos associados ao êxito na cirurgia de varicocele para a infertilidade? A pesquisa bibliográfica foi realizada em novembro de 2023 nas bases de dados: Pubmed, Biblioteca Virtual em Saúde, Scielo e Science Direct, por meio dos Descritores em Ciências da Saúde: Varicocele, Infertilidade, Inteligência Artificial e preditores, realizando combinações com os termos com o uso do operador booleano “AND”. Resultados: 27 artigos obedeceram aos critérios de inclusão e exclusão, nos quais 06 artigos na Science Direct, 14 na Pubmed, e 07 na Biblioteca Virtual em Saúde. Em relação ao tipo de estudo, 9 foram coorte, 6 de revisão, 2 prospectivos, 3 retrospectivos, 2 ensaios clínicos, 3 de intervenção, 1 experimental e 2 observacionais. Considerações finais: Considera-se que alguns fatores podem ser preditores de êxito na cirurgia de varicocele. Entre eles estão parâmetros hormonais, presença de refluxo ao ultrassom, técnica cirúrgica e aspectos no espermograma pré-operatório, normogramas, aprendizagem de máquina e modelagem foram alguns métodos utilizados pelos autores.
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Como Citar
BernardoR. C. C., MedeirosM. L., MachadoA. P., OliveiraM. J. C., & BernardoT. H. L. (2024). Fatores preditivos associados ao êxito na cirurgia de varicocele para a infertilidade. Revista Eletrônica Acervo Saúde, 24(10), e17466. https://doi.org/10.25248/reas.e17466.2024
Seção
Revisão Bibliográfica
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Referências
1. ABDEL-KADER MS, et al. Is unilateral varicocelectomy as effective as bilateral varicocelectomy in management of subfertile patients with bilateral varicocele. African Journal of Urology, 2018; 24 (4): 359–362.
2. AGARWAL A, et al. Male infertility. Lancet (London, England), 2021; 397 (10271): 319–333.
3. ALMEKATY K, et al. The role of artery-preserving varicocelectomy in subfertile men with severe oligozoospermia: a randomized controlled study. Andrology, 2019; 7(2): 193–198.
4. ATES E, et al. Preoperative neutrophil-to-lymphocyte ratio as a new prognostic predictor after microsurgical subinguinal varicocelectomy. Andrologia, 2019; 51(2): 13188.
5. AZAMBUJA KS, et al. A Importância da Avaliação Genética do Casal Infértil: uma Revisão Integrativa. Revista Eletrônica Acervo Médico, 2022; 3: 9727.
6. BAICHOROV E e PANCHENKO R. Varicocele as a factor of violation of spermatogenesis and decrease in male fertility. Astrakhan medical journal, 2023; 18 (1): 6–16.
7. CALVERT JK, et al. The male infertility evaluation still matters in the era of high efficacy assisted reproductive technology. Fertility and Sterility, 2022; 118(1): 34–46.
8. CANNARELLA R, et al. Does Varicocele Repair Improve Conventional Semen Parameters? A Meta-Analytic Study of Before-After Data. The World Journal of Men's Health, 2024; 42(1): 92-132.
9. CHO C e AGARWAL A. Role of sperm DNA fragmentation in male factor infertility: A systematic review. Arab Journal of Urology, 2018; 16(1): 21–34.
10. CHUA SC, et al. Male Clinical Parameters (Age, Stature, Weight, Body Mass Index, Smoking History, Alcohol Consumption) Bear Minimal Relationship to the Level of Sperm DNA Fragmentation. Journal of Personalized Medicine, 2023; 13(5): 759.
11. D’ANDREA S, et al. Reproductive hormones and sperm parameters after varicocele repair: An observational study. Andrologia, 2018; 50(10): 13118.
12. ERDOGAN O, et al. What is the role of pre‐operative blood parameters in forecasting varicocelectomy success? Andrology, 2021; 9(3): 916–921.
13. FRANCO A, et. Al. Varicocele: To Treat or Not to Treat? J. Clin. Med. 2023; 12(12): 4062-1-13.
14. GALVÃO CM. Niveles de evidência. Acta Paul Enferm. 2006; 19(2): 5.
15. GUERCIO C, et al. Hypogonadism is independently associated with varicocele repair in a contemporary cohort of men in the USA. Asian Journal of Andrology, 2019; 21(1): 45-49.
16. HUYGHEA E e METHORST C FAIX A. Varicocèle et infertilité masculine. Progrès en Urologie, 2023: 33(13): 624-635.
17. KANDEVANI NY, et al. Developing a novel prediction model for the impact of varicocelectomy on postoperative fertility. European Journal of Translational Myology, 2022: 32(2): 1–7.
18. LIRA NETO FT, et al. Effect of varicocelectomy on sperm deoxyribonucleic acid fragmentation rates in infertile men with clinical varicocele: a systematic review and meta-analysis. Fertility and Sterility, 2021; 116(3): 696–712.
19. LIU L, et al. Nomogram for predicting spontaneous pregnancy after microscopic varicocelectomy in infertile men with normal hormone. BMC Pregnancy and Childbirth, 2022; 22(1): 1–10.
20. LIU X, et al. Nomogram for Predicting Semen Parameters Improvement after Microscopic Varicocelectomy in Infertile Men with Abnormal Semen Parameters. Journal of Personalized Medicine, 2023; 13(1): 1-11.
21. MARÍN R e CHANG V. Impact of transfer learning for human sperm segmentation using deep learning. Computers in Biology and Medicine, 2021; 136: 104687.
22. MORINI D, et al. Improvement of sperm morphology after surgical varicocele repair. Andrology, 2021; 9(4): 1176–1184.
23. ORY J, et al. Artificial Intelligence Based Machine Learning Models Predict Sperm Parameter Upgrading after Varicocele Repair: A Multi-Institutional Analysis. The World Journal of Men’s Health, 2022; 40(4): 618-626.
24. PALMISANO F, et al. Clinical factors affecting semen improvement after microsurgical subinguinal varicocelectomy: Which subfertile patients benefit from surgery? European Urology Supplements, 2019; 18(9): 3332.
25. PENG J, et al. Testosterone levels in patients with varicocele and azoospermia. Beijing Da Xue Xue Bao Yi Xue Ban, 2022; 54(2): 294-298.
26. PUNJANI N, et al. Technological Advancements in Male Infertility Microsurgery. Journal of Clinical Medicine, 2021: 10(18): 4259.
27. REN W, et al. Infertility duration and pre‐operative sperm progressive motility are significant factors of spontaneous pregnancy after varicocele repair. American Journal of Reproductive Immunology, 2020; 84(6): 13318.
28. SANTOS CMC, et al. The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, 2007; 15(3): 508–511.
29. SCHAUER I, et al. The Impact of Varicocelectomy on Sperm Parameters: A Meta-Analysis. Journal of Urology, 2012; 187(5): 1540–1547.
30. SHAH R, et al. Consensus and Diversity in the Management of Varicocele for Male Infertility: Results of a Global Practice Survey and Comparison with Guidelines and Recommendations. The World Journal of Men's Health, 2023; 41(1): 164–197.
31. SHOMARUFOV AB, et al. Prediction of reproductive function recovery after microsurgical varicocelectomy in men from infertile couples: Clinical and laboratory predictors. Andrologia, 2021; 53(8): 14101.
32. SHOMARUFOV AB, et al. Predictors of fertility recovery in subfertile men after varicocelectomy. Urologia, 2021; 4: 73-78.
33. SHOMARUFOV AB, et al. Predictors of microsurgical varicocelectomy efficacy in male infertility treatment: critical assessment and systematization. Asian journal of andrology, 2023; 25(1): 21–28.
34. SHOMARUFOV AB, et al. Varicocelectomy: a critical analysis of predictors for male reproductive function recovery. Urologia, 2020; 6: 148–154.
35. SOARES CB, et al. Integrative Review: Concepts and Methods Used in Nursing. Revista da Escola de Enfermagem da USP, 2014; 48(2): 335–345.
36. TRADEWELL MB, et al. AI to predict sperm parameter upgrading after microsurgical varicocele repair: international external validation. Fertility and Sterility, 2021; 116(3): 331–332.
37. VAHIDI S, et al. Effects of microsurgical varicocelectomy on semen analysis and sperm function tests in patients with different grades of varicocele: Role of sperm functional tests in evaluation of treatments outcome. Andrologia, 2018; 50(8): 13069.
38. YOU K, et al. Intense venous reflux, quantified by a new software to analyze presurgical ultrasound, is associated with unfavorable outcomes of microsurgical varicocelectomy. Asian Journal of Andrology, 2023; 25(1): 119-125.
2. AGARWAL A, et al. Male infertility. Lancet (London, England), 2021; 397 (10271): 319–333.
3. ALMEKATY K, et al. The role of artery-preserving varicocelectomy in subfertile men with severe oligozoospermia: a randomized controlled study. Andrology, 2019; 7(2): 193–198.
4. ATES E, et al. Preoperative neutrophil-to-lymphocyte ratio as a new prognostic predictor after microsurgical subinguinal varicocelectomy. Andrologia, 2019; 51(2): 13188.
5. AZAMBUJA KS, et al. A Importância da Avaliação Genética do Casal Infértil: uma Revisão Integrativa. Revista Eletrônica Acervo Médico, 2022; 3: 9727.
6. BAICHOROV E e PANCHENKO R. Varicocele as a factor of violation of spermatogenesis and decrease in male fertility. Astrakhan medical journal, 2023; 18 (1): 6–16.
7. CALVERT JK, et al. The male infertility evaluation still matters in the era of high efficacy assisted reproductive technology. Fertility and Sterility, 2022; 118(1): 34–46.
8. CANNARELLA R, et al. Does Varicocele Repair Improve Conventional Semen Parameters? A Meta-Analytic Study of Before-After Data. The World Journal of Men's Health, 2024; 42(1): 92-132.
9. CHO C e AGARWAL A. Role of sperm DNA fragmentation in male factor infertility: A systematic review. Arab Journal of Urology, 2018; 16(1): 21–34.
10. CHUA SC, et al. Male Clinical Parameters (Age, Stature, Weight, Body Mass Index, Smoking History, Alcohol Consumption) Bear Minimal Relationship to the Level of Sperm DNA Fragmentation. Journal of Personalized Medicine, 2023; 13(5): 759.
11. D’ANDREA S, et al. Reproductive hormones and sperm parameters after varicocele repair: An observational study. Andrologia, 2018; 50(10): 13118.
12. ERDOGAN O, et al. What is the role of pre‐operative blood parameters in forecasting varicocelectomy success? Andrology, 2021; 9(3): 916–921.
13. FRANCO A, et. Al. Varicocele: To Treat or Not to Treat? J. Clin. Med. 2023; 12(12): 4062-1-13.
14. GALVÃO CM. Niveles de evidência. Acta Paul Enferm. 2006; 19(2): 5.
15. GUERCIO C, et al. Hypogonadism is independently associated with varicocele repair in a contemporary cohort of men in the USA. Asian Journal of Andrology, 2019; 21(1): 45-49.
16. HUYGHEA E e METHORST C FAIX A. Varicocèle et infertilité masculine. Progrès en Urologie, 2023: 33(13): 624-635.
17. KANDEVANI NY, et al. Developing a novel prediction model for the impact of varicocelectomy on postoperative fertility. European Journal of Translational Myology, 2022: 32(2): 1–7.
18. LIRA NETO FT, et al. Effect of varicocelectomy on sperm deoxyribonucleic acid fragmentation rates in infertile men with clinical varicocele: a systematic review and meta-analysis. Fertility and Sterility, 2021; 116(3): 696–712.
19. LIU L, et al. Nomogram for predicting spontaneous pregnancy after microscopic varicocelectomy in infertile men with normal hormone. BMC Pregnancy and Childbirth, 2022; 22(1): 1–10.
20. LIU X, et al. Nomogram for Predicting Semen Parameters Improvement after Microscopic Varicocelectomy in Infertile Men with Abnormal Semen Parameters. Journal of Personalized Medicine, 2023; 13(1): 1-11.
21. MARÍN R e CHANG V. Impact of transfer learning for human sperm segmentation using deep learning. Computers in Biology and Medicine, 2021; 136: 104687.
22. MORINI D, et al. Improvement of sperm morphology after surgical varicocele repair. Andrology, 2021; 9(4): 1176–1184.
23. ORY J, et al. Artificial Intelligence Based Machine Learning Models Predict Sperm Parameter Upgrading after Varicocele Repair: A Multi-Institutional Analysis. The World Journal of Men’s Health, 2022; 40(4): 618-626.
24. PALMISANO F, et al. Clinical factors affecting semen improvement after microsurgical subinguinal varicocelectomy: Which subfertile patients benefit from surgery? European Urology Supplements, 2019; 18(9): 3332.
25. PENG J, et al. Testosterone levels in patients with varicocele and azoospermia. Beijing Da Xue Xue Bao Yi Xue Ban, 2022; 54(2): 294-298.
26. PUNJANI N, et al. Technological Advancements in Male Infertility Microsurgery. Journal of Clinical Medicine, 2021: 10(18): 4259.
27. REN W, et al. Infertility duration and pre‐operative sperm progressive motility are significant factors of spontaneous pregnancy after varicocele repair. American Journal of Reproductive Immunology, 2020; 84(6): 13318.
28. SANTOS CMC, et al. The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, 2007; 15(3): 508–511.
29. SCHAUER I, et al. The Impact of Varicocelectomy on Sperm Parameters: A Meta-Analysis. Journal of Urology, 2012; 187(5): 1540–1547.
30. SHAH R, et al. Consensus and Diversity in the Management of Varicocele for Male Infertility: Results of a Global Practice Survey and Comparison with Guidelines and Recommendations. The World Journal of Men's Health, 2023; 41(1): 164–197.
31. SHOMARUFOV AB, et al. Prediction of reproductive function recovery after microsurgical varicocelectomy in men from infertile couples: Clinical and laboratory predictors. Andrologia, 2021; 53(8): 14101.
32. SHOMARUFOV AB, et al. Predictors of fertility recovery in subfertile men after varicocelectomy. Urologia, 2021; 4: 73-78.
33. SHOMARUFOV AB, et al. Predictors of microsurgical varicocelectomy efficacy in male infertility treatment: critical assessment and systematization. Asian journal of andrology, 2023; 25(1): 21–28.
34. SHOMARUFOV AB, et al. Varicocelectomy: a critical analysis of predictors for male reproductive function recovery. Urologia, 2020; 6: 148–154.
35. SOARES CB, et al. Integrative Review: Concepts and Methods Used in Nursing. Revista da Escola de Enfermagem da USP, 2014; 48(2): 335–345.
36. TRADEWELL MB, et al. AI to predict sperm parameter upgrading after microsurgical varicocele repair: international external validation. Fertility and Sterility, 2021; 116(3): 331–332.
37. VAHIDI S, et al. Effects of microsurgical varicocelectomy on semen analysis and sperm function tests in patients with different grades of varicocele: Role of sperm functional tests in evaluation of treatments outcome. Andrologia, 2018; 50(8): 13069.
38. YOU K, et al. Intense venous reflux, quantified by a new software to analyze presurgical ultrasound, is associated with unfavorable outcomes of microsurgical varicocelectomy. Asian Journal of Andrology, 2023; 25(1): 119-125.