Volume 26, Issue 125, July 2022

The effect of open varicocelectomy on sperm parameters and pregnancy rates in infertile males with a varicocele

Ahmed O Abdlgadir^1♦, Malek S Ibrahim¹, Ashraf E Saad², Jecelyn K Refuerzo³

¹General Surgery Departments, Urology Unit, Armed Forces hospital, Wadi Aldawasir, Kingdom of Saudi Arabia (KSA)
²Preventive Medicine Department, Armed Forced Hospital, Wadi Aldawasir, KSA
³Outpatient Department, Armed Forced Hospital, Wadi Aldawasir, KSA

^♦Corresponding author
Urology Unit, General Surgery Departments, Armed Forces Hospital, Wadi Aldawasir, Wadi Aldawasir, Kingdom of Saudi Arabia

ABSTRACT

Background: Varicocele is a most common treatable cause of male with infertility. Objective: Aiming of the study is to evaluate and compare the sperms parameters and spontaneous pregnancy rate of patients with clinical varicocele and infertility (primary or secondary) at three to six months after varicocelectomy. Materials and Methods: in a retrospective study we evaluated the semen parameters of 34 male patients present with clinical varicocele and infertility, which underwent sub or inguinal varicocelectomy, and then compared the semen parameters (concentration & motility) with spontaneous pregnancy of their partner preoperatively, and at three to six months postoperative. Results: from (34) patients in this study, at a mean age of 29 years in a range: (25.0 – 33.0) years underwent the varicocelectomy, there is an increasing in semen parameters results at the third to sixth months’ post-operative, The tested variations of the semen parameters result at the third to sixth month, conclude that there is a significant increasing in the sperm count and motility at six months (p ≤ 0.05). Conclusion: the varicocelectomy is increased the success rate of percentage of the spontaneous pregnancy as also as live birth rates in infertile patient regardless the semen analysis results, the rate of success in a zoospermic men can be useful to retrieve sperm after varicocelectomy.

Keywords: Reproductive system, Urology, Fertility program, Pregnancy rate, Varicocele

Medical Science, 2022, 26, ms270e2197

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DOI: https://doi.org/10.54905/disssi/v26i125/ms270e2197

Published: 08 July 2022