<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000700024</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actualización sobre el diagnóstico y tratamiento del varicocele]]></article-title>
<article-title xml:lang="en"><![CDATA[Update on diagnosis and treatment of varicocele]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo-Ordoñez]]></surname>
<given-names><![CDATA[Greta Marisol]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo-Quisnia]]></surname>
<given-names><![CDATA[Israel Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vivanco-Castillo]]></surname>
<given-names><![CDATA[Dayana Lisbeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Barrera]]></surname>
<given-names><![CDATA[Cynthia Abigail]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de Los Andes  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000700024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000700024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000700024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el varicocele se considera el problema más común en la práctica de la medicina reproductiva en el género masculino.  Objetivo:  describir el diagnóstico y tratamiento del varicocele.  Métodos:  se realizó una revisión bibliográfica de la literatura mediante una búsqueda de información en las bases de dato PubMed, SciELO, y Scopus.  Resultados:  la gravedad del varicocele se clasifica de uno a tres según el examen clínico, destacando el grado 2 y 3, con una mala calidad del semen para posibles embarazos. Los síntomas informados con mayor frecuencia han sido tradicionalmente dilataciones varicosas en el escroto, indoloras e incomodas. En estas se realiza varicocelectomías laparoscópicas y abiertas, con alta el mismo día de la cirugía.  Conclusión:  para un adecuado diagnóstico cabe destacar que la primera herramienta diagnóstica es mediante la exploración física. La confirmación se realiza mediante ecografía Doppler testicular, la cual permite diagnosticar también los varicoceles subclínicos. Existe evidencia de un efecto positivo del tratamiento sobre los síntomas, los parámetros espermáticos y las tasas de embarazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: varicocele is considered the most common problem in the practice of reproductive medicine in the male gender.  Objective:  to describe the diagnosis and treatment of varicocele.  Methods:  a bibliographic review of the literature was carried out by means of an information search in the databases PubMed, SciELO, and Scopus.  Results:  the severity of varicocele is classified from one to three according to clinical examination, highlighting grade 2 and 3, with poor semen quality for possible pregnancies. The most frequently reported symptoms have traditionally been varicose dilatations in the scrotum, painless and uncomfortable. In these cases laparoscopic and open varicocelectomies are performed, with discharge on the same day of surgery.  Conclusion:  for an adequate diagnosis it is important to emphasize that the first diagnostic tool is physical examination. Confirmation is made by testicular Doppler ultrasound, which also allows the diagnosis of subclinical varicoceles. There is evidence of a positive effect of treatment on symptoms, sperm parameters and pregnancy rates.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[VARICOCELE]]></kwd>
<kwd lng="es"><![CDATA[MEDICINA REPRODUCTIVA]]></kwd>
<kwd lng="es"><![CDATA[CIRUGÍA GENERAL]]></kwd>
<kwd lng="es"><![CDATA[ESCROTO]]></kwd>
<kwd lng="en"><![CDATA[VARICOCELE]]></kwd>
<kwd lng="en"><![CDATA[REPRODUCTIVE MEDICINE]]></kwd>
<kwd lng="en"><![CDATA[GENERAL SURGERY]]></kwd>
<kwd lng="en"><![CDATA[SCROTUM]]></kwd>
</kwd-group>
</article-meta>
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