From the Department of Urology. Ghaem Hospital, Mashad University of Medical Sciences, Mashad,
Abstract: (4672 Views)
427 patients with varicocele ranging in age from 14 to more than 35 years
underwent surgical operation during a 10 year period (1977-1986). 190
(44.5%) were referred for infertility and 365 had left-sided varicoceles
(85.5%). No relationship was found between infertility and the grade of
varicocele. Clinical features of prostatitis were often present. Semen
analyses were performed in 37% of patients and showed abnormalities in
motility, morphology, and density. Hormone analyses (in 26 cases) showed
elevated FSH, normal LH, and decreased testosterone levels. Complications
of high ligation occurred as recurrence of varicocele in 10% , and edema
of the scrotum in 12 %. In the 32 patients presenting with infertility who were
followed-up, there was an improvement in sperm density in 81 %, and a
fertility rate of 37.8 %