THE EFFECTIVENESS OF MICROSURGICAL VARICOCELECTOMY IN TREATING MALE INFERTILITY AT 19-8 HOSPITAL, MINISTRY OF PUBLIC SECURITY
Main Article Content
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.
Article Details
Keywords
Varicocele, microsurgical varicocelectomy, semen analysis, testosterone, male infertility.
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