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Comparison of pre-operative and post-operative (varicocelectomy) sperm parameters in patients suffering varicocle with and without reflux in Doppler ultrasonography.
J Family Med Prim Care 2019; 8(5):1730-1734JF

Abstract

Background

Varicocele can cause progressive testicular damage and infertility. Severe retrograde blood flow to the internal spermatic vein has been suggested as a risk factor for infertility or progressive/stable varicocele. We have aimed to Compared th pre-operative and post-operative (varicocelectomy) sperm parameters in patients suffering varicocle with and without reflux in Doppler ultrasonography.

Methods

This descriptive-analytic study was carried out at the Imaging Center of Ahwaz University of Medical Sciences in Imam and Golestan Hospitals. The parameters assessed included the presence or absence of internal spermatic vein reflux in both sided. Patients were divided into three groups based on the presence of testicular reflux: no reflux, left-sided reflux, and both sides reflux. The reflux longer than 1 second was considered pathologic. All patients were also referred to the laboratory for semen analysis, including semen volume, sperm morphology, sperm counts, and motility. Semen analysis was repeated 2 months after varicocelectomy.

Results

In this study, a total of 70 patients were evaluated. Forty-three patients (61.4%) did not have any reflux, 23 patients (32.9%) had left testicular reflux, and 4 (5.7%) had reflux in both testicles. Semen volume, number of sperms, number of motile sperm, and sperm morphology increased significantly after Varicocelectomy. We did not find any significant correlation between testicular reflux and improvement index of semen analysis factor was found.

Conclusion

The findings of this study indicate that the presence of testicular reflux has no effect on semen analysis parameters, but also does not predict the consequences of varicocelectomy and therefore is not a suitable prognosis factor in varicocele patients.

Authors+Show Affiliations

Resident of Radiology, School of Medicine, Golestan Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.Department of Orology, School of Medicine, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31198745

Citation

Babai, Mostafa, et al. "Comparison of Pre-operative and Post-operative (varicocelectomy) Sperm Parameters in Patients Suffering Varicocle With and Without Reflux in Doppler Ultrasonography." Journal of Family Medicine and Primary Care, vol. 8, no. 5, 2019, pp. 1730-1734.
Babai M, Gharibvand MM, Momeni M, et al. Comparison of pre-operative and post-operative (varicocelectomy) sperm parameters in patients suffering varicocle with and without reflux in Doppler ultrasonography. J Family Med Prim Care. 2019;8(5):1730-1734.
Babai, M., Gharibvand, M. M., Momeni, M., & Khazaeli, D. (2019). Comparison of pre-operative and post-operative (varicocelectomy) sperm parameters in patients suffering varicocle with and without reflux in Doppler ultrasonography. Journal of Family Medicine and Primary Care, 8(5), pp. 1730-1734. doi:10.4103/jfmpc.jfmpc_170_19.
Babai M, et al. Comparison of Pre-operative and Post-operative (varicocelectomy) Sperm Parameters in Patients Suffering Varicocle With and Without Reflux in Doppler Ultrasonography. J Family Med Prim Care. 2019;8(5):1730-1734. PubMed PMID: 31198745.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of pre-operative and post-operative (varicocelectomy) sperm parameters in patients suffering varicocle with and without reflux in Doppler ultrasonography. AU - Babai,Mostafa, AU - Gharibvand,Mohammad Momen, AU - Momeni,Mohammad, AU - Khazaeli,Dinyar, PY - 2019/6/15/entrez PY - 2019/6/15/pubmed PY - 2019/6/15/medline KW - Improvement index KW - semen analysis KW - testicular vein reflux KW - varicocelectomy SP - 1730 EP - 1734 JF - Journal of family medicine and primary care JO - J Family Med Prim Care VL - 8 IS - 5 N2 - Background: Varicocele can cause progressive testicular damage and infertility. Severe retrograde blood flow to the internal spermatic vein has been suggested as a risk factor for infertility or progressive/stable varicocele. We have aimed to Compared th pre-operative and post-operative (varicocelectomy) sperm parameters in patients suffering varicocle with and without reflux in Doppler ultrasonography. Methods: This descriptive-analytic study was carried out at the Imaging Center of Ahwaz University of Medical Sciences in Imam and Golestan Hospitals. The parameters assessed included the presence or absence of internal spermatic vein reflux in both sided. Patients were divided into three groups based on the presence of testicular reflux: no reflux, left-sided reflux, and both sides reflux. The reflux longer than 1 second was considered pathologic. All patients were also referred to the laboratory for semen analysis, including semen volume, sperm morphology, sperm counts, and motility. Semen analysis was repeated 2 months after varicocelectomy. Results: In this study, a total of 70 patients were evaluated. Forty-three patients (61.4%) did not have any reflux, 23 patients (32.9%) had left testicular reflux, and 4 (5.7%) had reflux in both testicles. Semen volume, number of sperms, number of motile sperm, and sperm morphology increased significantly after Varicocelectomy. We did not find any significant correlation between testicular reflux and improvement index of semen analysis factor was found. Conclusion: The findings of this study indicate that the presence of testicular reflux has no effect on semen analysis parameters, but also does not predict the consequences of varicocelectomy and therefore is not a suitable prognosis factor in varicocele patients. SN - 2249-4863 UR - https://www.unboundmedicine.com/medline/citation/31198745/Comparison_of_pre-operative_and_post-operative_(varicocelectomy)_sperm_parameters_in_patients_suffering_varicocle_with_and_without_reflux_in_Doppler_ultrasonography L2 - http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=5;spage=1730;epage=1734;aulast=Babai DB - PRIME DP - Unbound Medicine ER -