Evaluation of Effects of Varicocele Repair on Seminal Parameters in Cases of Clinical and Subclinical Varicocele – A Two Year Study
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: The causes of Male infertility are multifactorial and varicocele occupies a significant position with a prevalence of 19-41% in cases of primary infertility and 45-81% among cases of secondary infertility. Several studies have shown a significant correlation on varicocele and altered semen parameters. The aim of present study was to evaluate the effects of surgical varicocelectomy in cases of clinical and subclinical varicocele on the seminal parameters with a special focus on the sperm morphology, concentration and motility of the sperms. Material and methods: A prospective cross sectional study for a period of two years was conducted and all patients with clinical and subclinical varicoceles (diagnosed radiologically) were included and varicocelectomy was done. Pre and postoperative semen samples were collected and evaluated for alterations in semen concentration, motility and morphology of sperm. The data was analyzed with SPSS software version 20 for windows 10 and level of significance was assessed by paired t test, by considering p value less than 0.05. Results: 125 cases were included and 18-25 years was the major age group and left sided varicocele was commonest. 99 clinical and 26 subclinical varicoceles were identified and corrected by microsurgical approach in all cases. In our study a highly significant increase in sperm count was noticed in clinical and subclinical varicocele after varicocelectomy, but there was no significant difference in sperm morphology in both the groups. Discussion: To conclude our study demonstrated a clear increase in the semen parameters, i.e., sperm morphology, concentration and motility in clinical and subclinical cases of varicocele after surgical repair.
Authors and Affiliations
Suresh Kumar, Kishore Kumar Markapuram, B Naveen Kumar, Ramakrishna Baru, Sreeram Satish
Keywords
Related Articles
- EP ID EP424365
- DOI 10.21276/ijcmsr.2018.3.2.24
- Views 96
- Downloads 0
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