Efficacy of varicocelectomy on sperms count and motility in patients with clinical varicocele and infertility

Abstract

Background: Varicocele is a common condition
worldwide among infertile men.
Objective: The aim of this three year prospective
study done between January,2007 and December,2010,is to evaluate the effect of varicocelectomy on sperms count and motility among patients
with clinical varicocele.
Methods: During this period a total of 106 men
aged 20-41 years were diagnosed with clinical varicocele ( 30 %with grade II and 70% with grade
III varicocele).
Two semen analysis , by light and electron microscopy were taken from the patients. First analysis
was immediately before varicocelectomy and the
second analysis after three months.
The operation was done through an open subinguinal approach.
Results: The sperm count and motility of the patients with clinical varicocele improved significantly (p.value= 0.000). The improvement was
higher among patients with III grade varicocele
than those with grade II, and there was no assciation between the grade of varicocele and the age
of patient.
Conclusion: According to this effectiveness of
varicocelectomy on sperm count and motility, we
recommend operation in patients with clinical varicocele unless there is no other causes of sperms
abnormality.