The Effect of Varicocelectomy on Semen Anaysis and Pregnancy in Infertile Males

Year 2018, Volume: 2 Issue: 1, 20 - 23, 12.03.2018

Ercan Öğreden , Ural Oğuz Abdullah Çırakoğlu Erdal Benli , Erhan Demirelli , Orhan Yalçın

https://doi.org/10.30565/medalanya.378583

Abstract

Aim: We
aimed to investigate the effects of varicocelectomy on semen analysis and
pregnancy in infertile men.     

Patients and Methods: We retrospectively reviewed the medical records of patients
underwent varicoselectomy between 2009 and 2014 in two referal hospitals, and
180 infertile patients with complete records were included.  All surgeries were performed by using a
microscope or loop. The preoperative and postoperative sperm parameters and
spontaneous pregnancy rates were evaluated.                                                                                

Results:
Mean age of the patients was 29.6 (17-46) years. 99 (55%) of the patients
achieved spontaneous pregnancy after the surgery. 81 (45%) of the patients were
guided to infertility polyclinics for assisted reproductive methods. When the
sperm parameters were analyzed, the rate of the patients who had improved sperm
concentrations were 22.7%; the rate of the patients who had improved sperm
motility (a+b)  was 59.4%; the rate of
the patients who had improved sperm morphology was 51.1 (p<0.05).                         

Conclusion:
Consisted to the existing literature, our study has demonstrated the positive
effects of microscopic varicocelectomy on semen analysis and pregnancy rates.

Keywords

Varicocel, Male infertility, Semen analysis, Varicocelectomy

İnfertil Erkeklerde Varikoselektominin Semen Analizi ve Gebelik Üzerine Etkileri

Abstract

Amaç: Primer
infertil erkeklerde mikroskobik varikoselektomi ameliyatının semen analizi ve
gebelik üzerine etkilerini değerlendirmeyi amaçladık.

Hastalar ve Yöntem: İki merkezde 2009-2014 yılları arasında, tek taraflı ya da bilateral
mikroskobik varikoselektomi yapılan hastaların verileri retrospektif olarak
incelendi ve kayıtları tam olan 180 primer infertil hasta çalışmaya dahil
edildi. Tüm hastalarda büyüteç olarak mikroskop ya da loop kullanılarak işlem
gerçekleştirildi. Hastaların preoperatif ve postoperatif sperm parametreleri ve
spontan gebelik oranları karşılaştırıldı.

Bulgular:
Hastaların yaş ortalaması 29.6 (17-46) yıl idi. 99 (%55) hastada cerrahi
sonrası spontan gebelik sağlanırken, 81 (%45) hasta yardımcı üreme yöntemleri
için infertilite polikliniğine yönlendirildi. Sperm parametreleri
irdelendiğinde, konsantrasyonunda düzelme saptanan hasta oranı %22.7;
hareketlilikte (a+b) düzelme saptanan hasta oranı %59.4; morfolojide düzelme
saptanan hasta oranı oranı ise %51.1 olarak tespit edildi (p<0.05).                                                                                                                                    

Sonuç: Bu
çalışma, literatür verileriyle uyumlu olarak primer infertil hastalarda
mikroskopik varikoselektominin semen analizi ve gebelik üzerine olan olumlu
katkısını ortaya koymuştur.

Keywords

Varikosel, Erkek infertilitesi, Semen analizi, Varikoselektomi

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