Improvements in Scrotal Thermoregulation in Patients with Varicoceles Treated by Using Traditional Korean Medicine: Two Case Reports

다국어 초록 (Multilingual Abstract)

A varicocele is a dilatation of the pampiniform venous plexus within the spermatic cord. The incidence of varicoceles is 15%, and it occurs in more than 40% of men in infertile couples. Traditional Korean medicine (TKM) has been used to treat male infertility in Korea. We present two cases of men with varicoceles diagnosed via physical examination and scrotal thermography. We treated these men for two months by using TKM techniques, which included acupuncture, pharmacopuncture, and herbal medicine. We used scrotal thermography to evaluate the varicoceles before and after TKM treatment. After TKM treatment, the scrotal thermoregulation of both patients improved. In Patient 1, the temperature difference between the left and the right pampiniform plexus (i.e., ΔTP) was 2.8°C before treatment. It decreased to 1.3°C after treatment. In addition, the temperature difference between the testicles (ΔTT) was 1.5°C before treatment; it decreased to 0.2°C after treatment. In Patient 2, the ΔTP was 1.5°C before treatment; it decreased to 0.2°C after treatment. This report is the first to show that TKM may be an option for treating patients with varicoceles, as determined by using a scrotal thermography evaluation.

참고문헌 (Reference)

1 권수경, "남성불임환자의 한방치료 후 정자상태개선 효과에 대한 연구" 대한한방부인과학회 18 (18): 184-191, 2005

2 Dubin L, "Varicocelectomy as therapy in male infertility: a study of 504 cases" 26 : 217-220, 1975

3 Romeo C, "Varicocele and infertility: why a prevention?" 32 : 559-561, 2009

4 Will MA, "The great debate: varicocele treatment and impact on fertility" 95 : 841-852, 2011

5 Kroese AC, "Surgery or embolization for varicoceles in subfertile men" 10 : CD000479-, 2012

6 Siterman S, "Success of acupuncture treatment in patients with initially low sperm output is associated with a decrease in scrotal skin temperature" 11 : 200-208, 2009

7 Kulis T, "Scrotal infrared digital thermography in assessment of varicoceledpilot study to assess diagnostic criteria" 44 (44): 780-785, 2012

8 van der Steeg JW, "Role of semen analysis in subfertile couples" 95 : 1013-1019, 2011

9 Li SJ, "Research of Chinese medicine pairs (VIII)dSalviae Miltiorrhizae Radix et Rhizoma-Carthami flos" 38 : 4227-4231, 2013

10 김수진, "Preliminary Report on the Safety of a New Herbal Formula and Its Effect on Sperm Quality" 대한남성과학회 31 (31): 254-261, 2013

11 Cakmak YO, "Point- and frequency-specific response of the testicular artery to abdominal electroacupuncture in humans" 90 : 1732-1738, 2008

12 Korean Pharmacopuncture Institute Science Committee, Pharmacopuncturology Institute, "Pharmacopuncturology" Elsevier 2011

13 Kulis T, "Infrared digital thermography of scrotum in early selection of progressive varicocele" 81 : 544-546, 2013

14 Nogueira FE, "Infrared digital telethermography: a new method for early detection of varicocele" 92 : 361-362, 2009

15 Gurfinkel E, "Effects of acupuncture and moxa treatment in patients with semen abnormalities" 5 : 345-348, 2003

16 So EWS, "Acupuncture in reproductive medicine" 6 : 551-563, 2010