Imperial College London
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Dr. Channa Jayasena MA PhD MRCP FRCPath

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Reader in Reproductive Endocrinology
 
 
 
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c.jayasena Website

 
 
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6N5CCommonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Shah:2022:10.5534/wjmh.220048,
author = {Shah, R and Agarwal, A and Kavoussi, P and Rambhatla, A and Saleh, R and Cannarella, R and Harraz, AM and Boitrelle, F and Kuroda, S and Hamoda, TA-AA-M and Zini, A and Ko, E and Calik, G and Toprak, T and Kandil, H and Gul, M and Parekh, N and Russo, GI and Tadros, N and Kadioglu, A and Arafa, M and Chung, E and Rajmil, O and Dimitriadis, F and Malhotra, V and Salvio, G and Henkel, R and Le, T and Sogutdelen, E and Vij, S and Alarbid, A and Gudeloglu, A and Tsujimura, A and Calogero, AE and El, Meliegy A and Crafa, A and Kalkanli, A and Baser, A and Hazir, B and Giulioni, C and Cho, C-L and Ho, CCK and Salzano, C and Zylbersztejn, DS and Tien, DMB and Pescatori, E and Borges, E and Serefoglu, EC and Sais-Hamza, E and Huyghe, E and Ceyhan, E and Caroppo, E and Castiglioni, F and Bahar, F and Gokalp, F and Lombardo, F and Gadda, F and Duarsa, GWK and Pinggera, G-M and Busetto, GM and Balercia, G and Cito, G and Blecher, G and Franco, G and Liguori, G and Elbardisi, H and Keskin, H and L},
doi = {10.5534/wjmh.220048},
journal = {World Journal of Mens Health},
title = {Consensus and diversity in the management of varicocele for male infertility: results of a global practice survey and comparison with guidelines and recommendations},
url = {http://dx.doi.org/10.5534/wjmh.220048},
volume = {40},
year = {2022}
}
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TY  - JOUR
AB  - PurposeVaricocele is a common problem among infertile men. Varicocele repair (VR) is frequently performed to improve semen parameters and the chances of pregnancy. However, there is a lack of consensus about the diagnosis, indications for VR and its outcomes. The aim of this study was to explore global practice patterns on the management of varicocele in the context of male infertility.Materials and MethodsSixty practicing urologists/andrologists from 23 countries contributed 382 multiple-choice-questions pertaining to varicocele management. These were condensed into an online questionnaire that was forwarded to clinicians involved in male infertility management through direct invitation. The results were analyzed for disagreement and agreement in practice patterns and, compared with the latest guidelines of international professional societies (American Urological Association [AUA], American Society for Reproductive Medicine [ASRM], and European Association of Urology [EAU]), and with evidence emerging from recent systematic reviews and meta-analyses. Additionally, an expert opinion on each topic was provided based on the consensus of 16 experts in the field.ResultsThe questionnaire was answered by 574 clinicians from 59 countries. The majority of respondents were urologists/uro-andrologists. A wide diversity of opinion was seen in every aspect of varicocele diagnosis, indications for repair, choice of technique, management of sub-clinical varicocele and the role of VR in azoospermia. A significant proportion of the responses were at odds with the recommendations of AUA, ASRM, and EAU. A large number of clinical situations were identified where no guidelines are available.ConclusionsThis study is the largest global survey performed to date on the clinical management of varicocele for male infertility. It demonstrates: 1) a wide disagreement in the approach to varicocele management, 2) large gaps in the clinical practice guidelines from professional societies, and 3
AU  - Shah,R
AU  - Agarwal,A
AU  - Kavoussi,P
AU  - Rambhatla,A
AU  - Saleh,R
AU  - Cannarella,R
AU  - Harraz,AM
AU  - Boitrelle,F
AU  - Kuroda,S
AU  - Hamoda,TA-AA-M
AU  - Zini,A
AU  - Ko,E
AU  - Calik,G
AU  - Toprak,T
AU  - Kandil,H
AU  - Gul,M
AU  - Parekh,N
AU  - Russo,GI
AU  - Tadros,N
AU  - Kadioglu,A
AU  - Arafa,M
AU  - Chung,E
AU  - Rajmil,O
AU  - Dimitriadis,F
AU  - Malhotra,V
AU  - Salvio,G
AU  - Henkel,R
AU  - Le,T
AU  - Sogutdelen,E
AU  - Vij,S
AU  - Alarbid,A
AU  - Gudeloglu,A
AU  - Tsujimura,A
AU  - Calogero,AE
AU  - El,Meliegy A
AU  - Crafa,A
AU  - Kalkanli,A
AU  - Baser,A
AU  - Hazir,B
AU  - Giulioni,C
AU  - Cho,C-L
AU  - Ho,CCK
AU  - Salzano,C
AU  - Zylbersztejn,DS
AU  - Tien,DMB
AU  - Pescatori,E
AU  - Borges,E
AU  - Serefoglu,EC
AU  - Sais-Hamza,E
AU  - Huyghe,E
AU  - Ceyhan,E
AU  - Caroppo,E
AU  - Castiglioni,F
AU  - Bahar,F
AU  - Gokalp,F
AU  - Lombardo,F
AU  - Gadda,F
AU  - Duarsa,GWK
AU  - Pinggera,G-M
AU  - Busetto,GM
AU  - Balercia,G
AU  - Cito,G
AU  - Blecher,G
AU  - Franco,G
AU  - Liguori,G
AU  - Elbardisi,H
AU  - Keskin,H
AU  - Lin,H
AU  - Taniguchi,H
AU  - Park,HJ
AU  - Ziouziou,I
AU  - de,la Rosette J
AU  - Hotaling,J
AU  - Ramsay,J
AU  - Corral,Molina JM
AU  - Lo,KL
AU  - Bocu,K
AU  - Khalafalla,K
AU  - Bowa,K
AU  - Okada,K
AU  - Nagao,K
AU  - Chiba,K
AU  - Hakim,L
AU  - Makarounis,K
AU  - Hehemann,M
AU  - Pena,MR
AU  - Falcone,M
AU  - Bendayan,M
AU  - Martinez,M
AU  - Timpano,M
AU  - Altan,M
AU  - Fode,M
AU  - Al-Marhoon,MS
AU  - Gilani,MAS
AU  - Soebadi,MA
AU  - Gherabi,N
AU  - Sofikitis,N
AU  - Birowo,P
AU  - Kothari,P
AU  - Sindhwani,P
AU  - Javed,Q
AU  - Ambar,RF
AU  - Kosgi,R
AU  - Abou,Ghayda R
AU  - Adriansjah,R
AU  - Condorelli,RA
AU  - La,Vignera S
AU  - Micic,S
AU  - Kim,SHK
AU  - Fukuhara,S
AU  - Ahn,ST
AU  - Mostafa,T
AU  - Ong,TA
AU  - Takeshima,T
AU  - Amano,T
AU  - Barrett,T
AU  - Arslan,U
AU  - Karthikeyan,VS
AU  - Atmoko,W
AU  - Yumura,Y
AU  - Yuan,Y
AU  - Kato,Y
AU  - Jezek,D
AU  - Cheng,BK-C
AU  - Hatzichristodoulou,G
AU  - Dy,J
AU  - Ruiz,Castane E
AU  - El-Sakka,A
AU  - Bakircioglu,ME
AU  - Nguyen,Q
AU  - Sarikaya,S
AU  - Boeri,L
AU  - Tan,R
AU  - Moussa,MA
AU  - El-Assmy,A
AU  - Alali,H
AU  - Alhathal,N
AU  - Osman,Y
AU  - Perovic,D
AU  - Sajadi,H
AU  - Akhavizadegan,H
AU  - Vucinic,M
AU  - Kattan,S
AU  - Kattan,MS
AU  - Mogharabian,N
AU  - Phuoc,NHV
AU  - Ngoo,KS
AU  - Alkandari,MH
AU  - Alsuhaibani,S
AU  - Sokolakis,I
AU  - Babaei,M
AU  - King,MS
AU  - Diemer,T
AU  - Gava,MM
AU  - Henrique,R
AU  - Silva,RSE
AU  - Paul,GM
AU  - Mierzwa,TC
AU  - Glina,S
AU  - Siddiqi,K
AU  - Wu,H
AU  - Wurzacher,J
AU  - Farkouh,A
AU  - Son,H
AU  - Minhas,S
AU  - Lee,J
AU  - Magsanoc,N
AU  - Capogrosso,P
AU  - Jose,Albano G
AU  - Lewis,SEM
AU  - Jayasena,CN
AU  - Alvarez,JG
AU  - Teo,C
AU  - Smith,RP
AU  - Chua,JBM
AU  - Jensen,CFS
AU  - Parekattil,S
AU  - Finelli,R
AU  - Durairajanayagam,D
AU  - Karna,KK
AU  - Ahmed,A
DO  - 10.5534/wjmh.220048
PY  - 2022///
SN  - 2287-4208
TI  - Consensus and diversity in the management of varicocele for male infertility: results of a global practice survey and comparison with guidelines and recommendations
T2  - World Journal of Mens Health
UR  - http://dx.doi.org/10.5534/wjmh.220048
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000815049600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://wjmh.org/DOIx.php?id=10.5534/wjmh.220048
UR  - http://hdl.handle.net/10044/1/98907
VL  - 40
ER  -
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