Is varicocele a prognostic factor for determining sperm retrieval rate before testicular sperm extraction?


Tunc L., Gurocak S., Sozen S., Tan O., Alkibay T., Bozkirli I.

Archives of Andrology, cilt.51, sa.2, ss.159-164, 2005 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 2
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1080/014850190884318
  • Dergi Adı: Archives of Andrology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.159-164
  • Anahtar Kelimeler: nonobstructive azoospermia, sperm retrieval rate, varicocele, NONOBSTRUCTIVE AZOOSPERMIA, PREGNANCY RATE, MEN, PARAMETERS, BIOPSY, SPERMATOZOA, ADOLESCENT, HISTOLOGY, REPAIR
  • Gazi Üniversitesi Adresli: Evet

Özet

66 nonobstructive azoospermic men with normal genetic analysis composed of 32 (48%) patients with and 34 (52%) patients without varicocele were evaluated for the rate of sperm extraction five months after the varicocelectomy. Sperm retrieval was successful in 22 of 32 patients (68%) who had been operated because of varicocele and in 13 of 34 patients (38.2%) who had no varicocele (OR = 3.55) (CI: 1.15-11.27) (p = 0.025). Overall, sperm extraction was successful in 35 of 66 patients (53%). Repair of varicocele in non-obstructive azoospermic patients may return spermatogenesis to normal in spermatogenetic focuses. So, the presence of varicocele and its treatment might be considered as a prognostic factor for sperm retrieval in these patients. Copyright © Taylor & Francis Inc.