Correlation between Semen Parameters and Retrograde Flow into the Pampiniform Plexus before and after Varicocelectomy
| Autor: | J Shmueli, Ciro Servadio, E Niv, E Segenreich, Solomon Israilov |
|---|---|
| Rok vydání: | 1997 |
| Předmět: | |
| Zdroj: | European Urology. 32:310-314 |
| ISSN: | 1873-7560 0302-2838 |
| DOI: | 10.1159/000480831 |
| Popis: | Objective: To compare, before and after repair of varicocele the semen parameters (SP) in relation to the persistence of retrograde vein flow. Material and Methods: We examined the correlation between semen characteristics and retrograde flor (RF) into the pampiniform plexus in 158 patients with varicocele, before and after low inguinal spermatic vein ligation. Results: The results of the investigation before surgery showed that all patients had RF and also a decrease in quantitative and qualitative SP. After surgery an improvement was observed in SP and there was a decrease in RF as a function of time elapsing from surgery. One year after surgery an improvement in SP in 136 (86.1%) patients was observed. In 14 (8.8%) no change was noted and in 8 (5,1%) there was a deterioration in SP. Comparison between increased SP and persistence of RF I year after surgery revealed that of the 136 patients who showed improvement in SP, 124 (91.1%) did not have RF. Of the 14 patients with no improvement in SP, 12 (85.7%) were free of RF and 9 patients with deteriorated SP and bilateral RF. Amongst 132 infertile men, the wives of 55 (41.6%) became pregnant. None of these 55 men demonstrate RF. Conclusions: These results revealed a significant correlation between the improvement of SP, pregnancy in patients' wives and disappearance of RF. These results may be considered as a parameter of successful varicocelectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|