Articles Vol. 63 No. chuyên đề 2-HN Y học Giới tính (2022) 18/11/2022

THE EFFECTIVENESS OF MICROSURGICAL VARICOCELECTOMY IN TREATING MALE INFERTILITY AT 19-8 HOSPITAL, MINISTRY OF PUBLIC SECURITY

Nguyen Tran Thanh1,2, Tran Hoai Nam1,2
1 19-8 Hospital, Ministry of Public Security
2 Bệnh viện 19-8, Bộ Công an
Corresponding author: dr.thanh198@gmail.com
DOI: 10.52163/yhc.v63i7.477
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Keywords
Varicocele, microsurgical varicocelectomy, semen analysis, testosterone, male infertility.
Abstract

Introduction and objectives: Varicocele is among the most common causes of male
infertility. Our study aimed to evaluate the effectiveness of microsurgical varicocelectomy
in treating male infertility.
Subjects and methods: Data were collected prospectively from 55 cases of infertile men
with clinical varicocele who underwent microsurgical varicocelectomy from Dec 2018 to
Dec 2021 at the Department of Urology, 19-8 Hospital, Ministry of Public Security. Patients
were followed-up 3, 6 and 9 months using semen analysis and hormonal tests.
Results: Mean age of patients was 29,09 ± 2,72 years. Primary infertility was found in 83,64%
of patients and the prevalence of secondary infertility was 16,36%. Symptom improvement
has been reported in most of patients after the surgical. The sperm analysis revealed
statistically significant increases in sperm concentration, progressive sperm motility and
normal morphology (p<0,05). The adjusted testosterone levels increased in hypogonadism
group. Reported pregnancy rates was 54,55%, besides the rate of spontaneous pregnacy was
43,64%.
Conclusions: Microsurgical varicocelectomy is an effective procedure for the treatment of
varicocele, especially in patients who were infertility. This can improve semen parameters
and increase spontaneous pregnacy rates.

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