Effect of Varicocelectomy on Sperm Parameters and Pregnancy Rate in Patients with Subclinical Varicocele: A Randomized Prospective Controlled Study

  • Masanori Yamamoto
    Departments of Urology and Radiology, Nagoya University School of Medicine, Nagoya, Japan.
  • Hatsuki Hibi
    Departments of Urology and Radiology, Nagoya University School of Medicine, Nagoya, Japan.
  • Yoshifumi Hirata
    Departments of Urology and Radiology, Nagoya University School of Medicine, Nagoya, Japan.
  • Koji Miyake
    Departments of Urology and Radiology, Nagoya University School of Medicine, Nagoya, Japan.
  • Takeo Ishigaki
    Departments of Urology and Radiology, Nagoya University School of Medicine, Nagoya, Japan.

書誌事項

公開日
1996-05
権利情報
  • http://www.elsevier.com/tdm/userlicense/1.0/
DOI
  • 10.1016/s0022-5347(01)66149-4
  • 10.1097/00005392-199605000-00028
公開者
Ovid Technologies (Wolters Kluwer Health)

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説明

AbstractPurpose: We assessed whether subclinical varicocele ligation improves fertility and/or semen parameters.Materials and Methods: A total of 85 patients with a subclinical varicocele diagnosed by scrotal thermography presented with infertility. Patients were randomly assigned to groups 1 (high ligation of the internal spermatic vein) and 2 (followed without any treatment). At least 3 semen samples were obtained at study entry and 1 year later in both groups.Results: The pregnancy rate in group 1 was 6.7 percent compared to 10 percent in group 2, and the difference was not statistically significant. Group 1 had significantly higher levels of sperm density and total motile sperm count at 1 year. There were no significant differences between groups 1 and 2 regarding change in seminal volume, sperm motility and abnormal sperm morphology.Conclusions: Subclinical varicocelectomy has some effect on spermatogenesis but no beneficial effect on pregnancy rate.

収録刊行物

  • Journal of Urology

    Journal of Urology 155 (5), 1636-1638, 1996-05

    Ovid Technologies (Wolters Kluwer Health)

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