European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Varicocele is the most common, surgically correctable cause of male infertility. The ideal indication for varicocelectomy is male infertility due to poor semen parameters, but varicocelectomy may also be performed for testicular pain, androgen deficiency, and progressive testicular atrophy and non-obstructive azoospermia. The purpose of the study is check efficacy of different approaches of varicocelectomy on Semen parameters (sperm morphology and sperm counts).
Material and methods:This was an observational study, comparing sperm morphology and sperm counts before and after different approaches of varicocelectomy. Study was conducted in the three hospitals affiliated to a medical college in South India over a period of 2years. A total of 24 cases of varicocele were included in the study. The study results were analysed by Mann-Whitney U test.
Results:Of the observed surgical techniques, the Sub inguinal approach for varicocelectomy was used among 10 (42%) patients followed by inguinal approach in 7 (29%) patients. The mean increase in sperm count was 150% in the subinguinal approach which was higher than all other techniques. The symptomatic relief was similar in all approaches.
Conclusion:Sub inguinal approach of varicocelectomy is better compared to other techniques with respect to sperm counts with good symptomatic relief post operatively.