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• W2093962824 abstract "ObjectiveA federally sponsored prospective randomized trial involving varicocele repair recently failed due to insufficient patient recruitment. Upon critical review of this trial, the hypothesis that limited recruitment, due to a lack of urologists’ interest, was tested. For this reason, we surveyed United States of America (USA) members of the Society of Male Reproductive Urologist (SMRU) and Society of Reproductive Surgeons (SRS) to determine if a NIH funded varicocelectomy trial for the treatment of male infertility would be of significance to the field.DesignA 10-question survey using Survey Monkey.Materials and MethodsA total of 100 USA SMRU and SRS members were surveyed to determine if a prospective, randomized varicocelectomy trial was warranted. Support of the trial was considered to be a majority or super-majority, if either 51% or 66% of respondents affirmed importance.ResultsA total of 48 urologists responded (48% response rate). Of the respondents 96% felt that a prospective varicocelectomy trial was important and should be implemented. All respondents were familiar with the AUA/ASRM varicocelectomy guidelines and the majority (83%) performs a microscopic inguinal varicocelectomy most of the time. None of the respondents would operate on subclinical varicoceles. When given a scenario of a patient with “normal” semen analysis, 56% would still offer a varicocelectomy.ConclusionWe negated the hypothesis that there was a lack of urology support for a prospective varicocelectomy trial. There is broad (super-majority) support for a prospective randomized controlled varicocelectomy trial among USA reproductive urologists. Nearly all respondents would recruit patients from their practices for such a trial. These respondents were aware of the AUA/ASRM guidelines, typically performed microscopic repairs, and did not operate on subclinical varicoceles. ObjectiveA federally sponsored prospective randomized trial involving varicocele repair recently failed due to insufficient patient recruitment. Upon critical review of this trial, the hypothesis that limited recruitment, due to a lack of urologists’ interest, was tested. For this reason, we surveyed United States of America (USA) members of the Society of Male Reproductive Urologist (SMRU) and Society of Reproductive Surgeons (SRS) to determine if a NIH funded varicocelectomy trial for the treatment of male infertility would be of significance to the field. A federally sponsored prospective randomized trial involving varicocele repair recently failed due to insufficient patient recruitment. Upon critical review of this trial, the hypothesis that limited recruitment, due to a lack of urologists’ interest, was tested. For this reason, we surveyed United States of America (USA) members of the Society of Male Reproductive Urologist (SMRU) and Society of Reproductive Surgeons (SRS) to determine if a NIH funded varicocelectomy trial for the treatment of male infertility would be of significance to the field. DesignA 10-question survey using Survey Monkey. A 10-question survey using Survey Monkey. Materials and MethodsA total of 100 USA SMRU and SRS members were surveyed to determine if a prospective, randomized varicocelectomy trial was warranted. Support of the trial was considered to be a majority or super-majority, if either 51% or 66% of respondents affirmed importance. A total of 100 USA SMRU and SRS members were surveyed to determine if a prospective, randomized varicocelectomy trial was warranted. Support of the trial was considered to be a majority or super-majority, if either 51% or 66% of respondents affirmed importance. ResultsA total of 48 urologists responded (48% response rate). Of the respondents 96% felt that a prospective varicocelectomy trial was important and should be implemented. All respondents were familiar with the AUA/ASRM varicocelectomy guidelines and the majority (83%) performs a microscopic inguinal varicocelectomy most of the time. None of the respondents would operate on subclinical varicoceles. When given a scenario of a patient with “normal” semen analysis, 56% would still offer a varicocelectomy. A total of 48 urologists responded (48% response rate). Of the respondents 96% felt that a prospective varicocelectomy trial was important and should be implemented. All respondents were familiar with the AUA/ASRM varicocelectomy guidelines and the majority (83%) performs a microscopic inguinal varicocelectomy most of the time. None of the respondents would operate on subclinical varicoceles. When given a scenario of a patient with “normal” semen analysis, 56% would still offer a varicocelectomy. ConclusionWe negated the hypothesis that there was a lack of urology support for a prospective varicocelectomy trial. There is broad (super-majority) support for a prospective randomized controlled varicocelectomy trial among USA reproductive urologists. Nearly all respondents would recruit patients from their practices for such a trial. These respondents were aware of the AUA/ASRM guidelines, typically performed microscopic repairs, and did not operate on subclinical varicoceles. We negated the hypothesis that there was a lack of urology support for a prospective varicocelectomy trial. There is broad (super-majority) support for a prospective randomized controlled varicocelectomy trial among USA reproductive urologists. Nearly all respondents would recruit patients from their practices for such a trial. These respondents were aware of the AUA/ASRM guidelines, typically performed microscopic repairs, and did not operate on subclinical varicoceles." @default.
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• W2093962824 date "2013-09-01" @default.
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• W2093962824 title "Nearly all surveyed reproductive urologists feel a prospective varicocelectomy trial is important and worthwhile" @default.
• W2093962824 doi "https://doi.org/10.1016/j.fertnstert.2013.07.1764" @default.
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