The outcome of varicocelectomy in subfertile men with an absent or atrophic right testis

Objectives  To determine the effects of varicocelectomy on semen quality, testicular volumes and serum hormone levels in subfertile men with an absent or atrophic right testis. Patients and methods  Seventeen patients whose wives were gynaecologically normal were evaluated with at least two semen an...

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Bibliographic Details
Published in:British Journal of Urology 1998-05, Vol.81 (5), p.750-752
Main Authors: ASCI, R, SARIKAYA, S, BÜYÜKALPELLI, R, YILMAZ, A. F, YILDIZ, S
Format: Article
Language:English
Subjects:
Adolescent
Adult
atrophic testis
Biological and medical sciences
Follicle Stimulating Hormone - blood
Follow-Up Studies
Humans
Infertility, Male - blood
Infertility, Male - etiology
Infertility, Male - surgery
Male
male subfertility
Medical sciences
Pregnancy Rate
Semen - physiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Testis - abnormalities
Treatment Outcome
Varicocele
Varicocele - blood
Varicocele - complications
Varicocele - surgery
varicocelectomy
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Summary:Objectives  To determine the effects of varicocelectomy on semen quality, testicular volumes and serum hormone levels in subfertile men with an absent or atrophic right testis. Patients and methods  Seventeen patients whose wives were gynaecologically normal were evaluated with at least two semen analyses and measurements of serum hormone levels and antisperm antibodies. Scrotal ultrasonography was used to determine testicular volumes and spermatic vein diameters. Varicocelectomy was performed by high ligation via an inguinal approach. All patients were seen at a follow‐up 3 months later, and after 6, 9 and 12 months the scrotal ultrasonography, hormone assessment and semen analyses were repeated. Any pregnancies in their wives were recorded over a median follow‐up of 19 months. Results  After surgery, all patients had significant improvements in sperm motility, morphology and concentration (P0.01). No patients had immunological infertility. Eleven of the wives became pregnant during the follow‐up. Conclusion  Higher pregnancy rates can be achieved by left varicocelectomy in subfertile men with an absent or atrophic right testis. Sperm concentration, motility and morphology are significantly improved by varicocelectomy.
ISSN:0007-1331
1464-410X
DOI:10.1046/j.1464-410x.1998.00631.x