Reassessing the Role of Subclinical Varicocele in Infertile Men With Impaired Semen Quality: A Prospective Study - 28/03/15
, Massimo Polito, Giovanni MuzzonigroAbstract |
Objective |
To evaluate the seminal, hormonal, and spontaneous pregnancy outcome after percutaneous embolization of the internal spermatic vein in infertile men with left-sided subclinical varicocele and one or more abnormal semen parameters.
Methods |
A total of 218 patients underwent percutaneous embolization, and 119 patients were included as the observation group. All patients were followed up prospectively for 39.4 ± 6.5 months. Semen parameters and hormonal levels were evaluated before any procedure and 6 months after.
Results |
Significant improvement in the mean sperm concentration, total motility, and lower follicle-stimulating hormone levels was noted in those who underwent varicocele embolization as compared with those not treated. After 39.4 ± 6.5 months, pregnancy rates were 46.3% for the treated group and 11.8% for the control group (P = .011).
Conclusion |
In infertile men, small varicoceles, even subclinical ones, should be identified and treated.
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| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 85 - N° 4
P. 826-830 - avril 2015 Retour au numéro
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