Improvement of semen parameters after coil embolization of varicoceles: a systematic review
Melhora dos parâmetros seminais após embolização com molas de varicocele: uma revisão sistemática
Sergio Quilici Belczak; Vanessa Stefaniak; Leonardo Garcia Góes; Felipe Coelho Neto; Walter Jr. Boim de Araújo; Nathalia Almeida Cardoso da Silva
Abstract
Keywords
Resumo
Resumo: Trata-se de uma revisão sistemática conduzida de acordo com o PRISMA 2009 (Principais Itens para Relatar Revisões Sistemáticas e Metanálises) que incluiu estudos em que a melhora dos parâmetros seminais tenha sido um dos desfechos. Esta revisão foi realizada com o objetivo de avaliar as evidências sobre o papel da embolização com uso apenas de molas na melhora de parâmetros seminais em homens com varicocele, uma vez que a embolização apenas com molas é o método com melhor custo-benefício para o reparo de varicoceles. A qualidade dos estudos foi analisada com o índice MINORS. Em seis estudos clínicos retrospectivos e em outros dois prospectivos observacionais ou comparativos, a concentração seminal melhorou significativamente em todos os cinco estudos que avaliaram esse parâmetro. A motilidade seminal melhorou significativamente em sete estudos. Não foi possível analisar o impacto da embolização com molas na densidade seminal.
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References
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Submitted date:
07/22/2020
Accepted date:
08/31/2020
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