Varicocelectomy to treat hypogonadism?

[madman]

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[madman]

 

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[madman]

 

[madman]

8:19-9:01

*weight loss by far is one of the most impressive in improving testosterone, sleep and stress reduction has also improved serum testosterone levels

*there is a bi-directional relationship between testosterone and weight, if a man loses 10% of his bodyweight he will see about an 85 ng/dL improvement in serum testosterone levels, if he loses 15% of his bodyweight you will see almost a 270 ng/dL in serum testosterone and the best data we have is in the bariatric literature when someone has bariatric surgery after surgery these patients see almost a 250 ng/dL in serum testosterone levels

 

[madman]

Varicoceles

Varicoceles: Overview of Treatment from a Radiologic and Surgical Perspective (2022) Helio V. Neves da Silva, BS Robert L. Meller, MD Eniola A. Ogundipe, MD Paul J. Rochon, MD, FSIR A testicular varicocele is the result of the expansion of the venous pampiniform plexus of the scrotum. Often...

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[Willyt]

Bump of +90 ng/dl does not seem worth it unless there is pain issue

 

[madman]

The Utility of VTI 20 MHz Doppler in Microsurgical Varicocelectomy

https://vti-online.com/products/doppler-systems/20-microvascular/

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