Talk:Varicocele

imk=mud

notes

The opening paragraph is plagarized from here:[1] Somebody please fix that. —Preceding unsigned comment added by Geek210 (talk • contribs)

Edited first paragraph.~~

About merging with Varicoscele

• There seems to be a duplicate article at Varicoscele, just with a slightly different spelling. They each seem to have some points that the other doesn't, so it looks like they should be merged.

• YES, merge. I'll try to do it. --AVM 19:17, 22 May 2007 (UTC)

• I believe both articles are related to the same condition and should be merged or the spelling needs to be corrected and a link needs to be created between the articles. ~~[SAR]

Benefit of having a varicocele...?

Might there have been a genetic benefit for a human males who lived in a cold weather climate to have a varicocele with respect to keeping the testis warm in that cold enviroment? —Preceding unsigned comment added by 71.186.75.163 (talk) 01:16, 18 December 2007 (UTC) nbfnvskadfnskjdnsdkjfnsdkfndsjkfnkdjsnfsdfsd —Preceding unsigned comment added by 124.191.197.4 (talk) 11:53, 7 July 2010 (UTC)

temporary relief

It may be interesting for others to know that if I cause myself to shiver (usually can be achieved by thought or by stimulating my side lightly with my fingers, rotating my shoulders etc) and direct the shiver into my testis it stimulates them causing the vericocele to go away slightly, if you do it repeatedly it seems to help. Also by using muscular contraction I am able to force the veins to drain of blood, the muscles used are related but not exactly the same as trying to stop urinating. I doubt there's any study or reference to this, but just try it and see if it helps. 71.112.208.13 (talk) 02:05, 23 June 2008 (UTC)

Micronized Purified Flavonoid Fraction

Two studies using micronized purified flavonoid fractions (MPFF) show promising results in treating varicocele pain. Significant reductions in varicocele pain were observed after treatment with MPFF's. This should be mentioned in the article.

Study 1 http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file=UIN2005074002173

Study 2 http://www.springerlink.com/content/x8221v633p2wn461/ — Preceding unsigned comment added by 86.163.158.244 (talk) 23:19, 6 September 2011 (UTC)

Contradiction?!

If surgery is required because of infertility or testicular atrophy, the outlook is usually excellent.

It then goes onto say...

Whether or not a varicocele causes infertility is a contentious issue. Recent research suggests that there may be no improvement in fertility after treating a varicocele with surgery; indeed, the research implies that there may not even be a reliable causal link between the presence of a varicocele and infertility in males.[8]

Slight contradiction, could studys be cited and the pros and cons of these studies be given? These sections should be merged in reality Fishyghost (talk) 18:46, 26 September 2008 (UTC)

Gat and Goren

Please discuss at Talk:Benign_prostatic_hyperplasia#Gat_and_Goren — Preceding unsigned comment added by Taylornate (talk • contribs) 20:59, 5 November 2011 (UTC)

Continues to be added here [2]. Have trimmed again. Doc James (talk · contribs · email) 21:22, 6 January 2016 (UTC)

Bad reference

There is a reference to http://www.varicocelehealing.com/ which is a web site containing no information but offering to sell information. This reference should be removed as it does not support the associated claim and is merely advertising a product. — Preceding unsigned comment added by 98.250.213.16 (talk) 01:06, 23 January 2014 (UTC)

 Done [3] --BallenaBlanca (talk) 07:32, 21 December 2015 (UTC)

Removed two sources

Here as neither are good with one being a blog and the other a letter to the editor. Doc James (talk · contribs · email) 15:54, 22 January 2016 (UTC)

Questionable source:

• Rehman, Khaleeq ur (Nov 24, 2014). "Varicocele and infertility: Role of pressure flow dynamics". wjgnet. Baishideng Publishing Group Inc. Retrieved March 3, 2016. (Baishideng Publishing Group)

Reason: Beall's list. Perhaps it may be better to find another one. Best regards. --BallenaBlanca (talk) 19:48, 25 March 2016 (UTC)

Lifestyle

As these are risk factors or causes they occur as a subheading of cause. Therefore restored here[4] Doc James (talk · contribs · email) 23:05, 16 March 2016 (UTC)

microTESE

Stands for "microsurgical testicular sperm extraction". As a surgical technique IMO its discussion belongs with the other surgical techniques. I see efforts to put it in its own section and to put that section first to be undue weight. Doc James (talk · contribs · email) 19:52, 15 May 2016 (UTC)

Yes it is just another surgical procedure. I am familiar with it from past work I have done and it is something urologists market themselves with (like the use or robotic surgery) to attract patients. Urologists are some of the most aggressive marketers in medicine. Jytdog (talk) 21:51, 15 May 2016 (UTC)

Varicocele surgery is different from Micro TESE. Varicocele surgery targets the veins of the spermatic cord. It cuts out or blocks off the varicose veins of the scrotum. Micro TESE is a fertility procedure. Yes, it is a surgical procedure. But it simply is a matter of collecting sperm. Embolization (which has its own Heading) is also a surgical procedure. I made the mistake of copy + pasting the definition from a website without reviewing it properly. I did Not put up any bad links though. I also corrected the little bits that sounded like I was trying to market Micro TESE. I also didn't know that there was such thing as a 3R rule. Why wouldn't we put embolization under the surgery category as well then? Joltzipper

User:Joltzipper you have been informed of the rule twice.[5][6] Doc James (talk · contribs · email) 22:57, 15 May 2016 (UTC) .

Yes, months ago. And, I did not realize that Jytdog was here to moderate for that rule. I don't know how any of that stuff works. Joltzipper

User:Jytdog I was simply trying to add more content to the Varicocele page. That's all. There is 1 link to a scientific publication that I read that was a secondary source. So I put up the MicroTESE category before. Then today, DocJames removed it. So, I tried to instead add the definition of MicroTESE as well. That's all. No marketing gimmicks. And no I am not a urologist. Note: I also didn't know you could talk with other users like this.: Joltzipper —Preceding undated comment added 23:08, 15 May 2016 (UTC)

User:Doc James How about we combine the Surgery, embolization, and microTESE sections under the surgery section then? Joltzipper

Embolization is done by IR so IMO it should be a separate section. Doc James (talk · contribs · email) 04:54, 16 May 2016 (UTC)

agree w/ DocJames should have separate section..... ( [7]did not find many reviews)--Ozzie10aaaa (talk) 10:45, 16 May 2016 (UTC)

Ref does not support

Ref does not even mention varicocele, nor does it state the follow is a cause "posture, therapeutic underwear," Doc James (talk · contribs · email) 01:35, 9 June 2016 (UTC)

References

Explanation for removal of picture

Moving the comment inserted by User:Leprof 7272 in this edit to the talk page where it belongs. Boghog (talk) 07:25, 30 April 2017 (UTC)

Return the picture only with labeling to make clear what particular substructure is being referred to as the significant varicocele. An image presenting the whole of the organ without labels is without pedagogic value to a lay person; the clearest feature in the image is an apparent enlargement or greater degree of descent of the left testicle (and not any varicocele). Use a smaller subsection of the image, create an inset, add arrow and label—something must be done to make this an accurate and informative medical image. Note, also this is an uploaded medical image, and hence constitutes self-published data, and appears with no attestation of obtained patient consent. As such, absent a published textbook refernce to which we can compare the image, have can no strong confidence that the image is an appropriate, well-chosen (i.e., representative) image of the title pathology. Leprof 7272

Leprof 7272 Rather than simply remove the image, either add the arrow of ping me to do it. Best Doc James (talk · contribs · email) 15:36, 30 April 2017 (UTC)

Lifestyle

About this:

Lifestyle factors such as activity type, diet, bowel health, testicular temperature, smoking, and alcohol moderation can affect both the occurrence rate and varicocele symptoms severity.

References

This contains unsourced content, content not supported by the adjacent ref, and a journal from a predatory publisher (Baishideng).

The key ref here about alt med stuff (Mills) is about treatment of infertility. It is not about treatment of varicocele. Joltzipper please explain how the sources that are reliable support this content. Please do so before restoring it again. Jytdog (talk) 15:58, 20 June 2017 (UTC)

Also the textbook ref is actually from 1970 (worldcat) and is too old per MEDDATE. So there are two refs here, and they do not support most of the content. I think we can have some content about lifestyle/risk factors but it is not this - we need to improve it. Jytdog (talk) 16:07, 20 June 2017 (UTC)

Joltzipper I get it that you think we need to talk about "lifestyle" factors but please don't add unsourced content to WP as you did here. I have not seen any place where changes in lifestyle can treat varicocele per se. Please come and explain where you are finding sourcing for that. Thanks. Jytdog (talk) 17:41, 20 June 2017 (UTC)

• Joltzipper, In this dif you removed sourced content about genetic risk, added WP:SYN, and content not supported by the sources. And you are not talking. Please come and talk.

The content you added in the "treatment" part there was:

Making lifestyle changes can also lead to improvement in varicocele infertility.

References

I do not know what "varicocele infertility" is. But in any case.

• the Rosety ref is a primary source an in any case people with varicocele were excluded from the study. Not relevant here and not MEDRS.
• the Johnston chapter does not contain the word "varicocele" but is just about general tips for infertile men. It is a book chapter so is OK per MEDRS.
• the Fung ref is another primary source that fails MEDRS. It also doesn't mention varicocele, and the focus is on vitamin D levels in women, in any case.
• the 4th source is the same as the 2nd.

None of these sources support "Making lifestyle changes can also lead to improvement in varicocele infertility" and two of the sources fail MEDRS in any case. Not Ok editing. Jytdog (talk) 19:36, 20 June 2017 (UTC)

Plain english

User:Joltzipper about this, we need to make it clear that varicocele is not the same as infertility; v apparently can infertility but not always. If you disagree that we need to explain this, please say why. Thanks. Jytdog (talk) 17:36, 20 June 2017 (UTC)

User:Jytdog I think it is obvious that varicocele is not infertility, but the leading cause from the intro Joltzipper (talk) 17:41, 20 June 2017 (UTC)

Thanks for coming to talk. No need to ping me, as this is on my watchlist. As I understand in more than half the cases of male infertility the cause is not clear. Varicocele is present in about 35% of cases (different than "causing" 35%) but even this is not "most".... Jytdog (talk) 18:40, 20 June 2017 (UTC)

Recent reversion of my edit

Jytdog: I see your reversion of my edit. The removed material concerned risk factors for infertility, not for the subject of the article, varicocele:

Tobacco smoking and mutations in the gene expressing glutathione S-transferase Mu 1 both put men at risk for infertility; these factors may also exacerbate the risk that varicocele will affect fertility.

Do you disagree with my assessment, and would you like to revert your reversion if you do agree?--Quisqualis (talk) 02:28, 26 September 2017 (UTC)

I do disagree. The source is talking about factors that put men with varicocele at risk for infertility, and they identify smoking as the main preventable one. What is not clear? Jytdog (talk) 03:32, 26 September 2017 (UTC)

I take issue with your reasoning. The statement in question appears in the section "Cause" in the article "Varicocele". The statement might find a home in another section, but not in this one. People might conclude that smoking causes varicocele. Perhaps the statement could be moved to an article about male infertility.--Quisqualis (talk) 03:46, 26 September 2017 (UTC)

I will move it to the pathophysiology section. Please review this talk page and the history of the article. Other people have come here obsessed with various details and this was demanded by someone we have now indefinitely blocked for being overly obsessed with having this article be Exactly Like They Wanted It. What is it with penises and testicles in WP? Jytdog (talk) 03:51, 26 September 2017 (UTC)

Final paragraph on "CDVL"

The last paragraph of this article, added in Dec. 2018, seems to be something of an advertisement. It was added by the account "Drparagshah2000", which has no other contributions. It links to a website which appears to belong to Dr. Shah (the apparent editor), offering the surgery described, and the only citation is to a paper also by Dr. Shah. I would encourage an editor familiar with this area of medicine to determine whether the described surgery deserves mention in the article, and if so to describe it more neutrally. User:Glenn Willen (Talk) 19:26, 10 March 2019 (UTC)

Varicocele

Needs clarity more about symptoms of varicocele. Sometimes a person experience sever pain in the veins of their penus. Is that really a symptom of Varicocele. Furthermore, enlargement of left testes surely clarifies us that we have a varicocle. If yes, I have those symptoms. Needs guidelines please. Thanks 2A03:2880:FF:12:0:0:FACE:B00C (talk) 04:47, 27 April 2022 (UTC)

Left or right?

I'm not an expert in this medical field, but I do know my left from my right. In the photograph on the viewer's left, the testicle owner's *right* testicle (or the area above it) is circled, and in the photograph on the viewer's right the *left* testicle is circled. Whoever labelled this in both the English and French Wikipedia entries doesn't know their left testicle from their right. --Craig (t|c) 00:02, 11 November 2022 (UTC)