Muhammet Serdar BUĞDAY, Ersoy ÖKSÜZ, Murat DURSUN, Serhan ÇİMEN, Muhammed SULUKAYA, Battal Selçuk ÇAKMAK

Sigara Kullanımının Varikoselektomi Sonrası Semen Parametreleri Üzerine Olumsuz Etkileri

Varikosel ve sigaranın fertilite üzerindeki olumsuz etkileri bilinmektedir. Çalışmamızda varikoselektomi sonrası sigaranın iyileşme sürecine etkisini değerlendirmeyi amaçladık. Çalışmaya varikoselektomi operasyonu geçirmiş 378 erkek hasta dâhil edildi. Hastalar, sigara içmeyenler, günde 10 adetten az sigara içenler ve günde 10 adet ve üzeri sigara içenler olmak üzere üç gruba ayrıldı. Hastaların semen analizleri varikoselektomi operasyonu öncesi ve varikoselektomi operasyonundan 3 üç ay sonra değerlendirildi ve semen hacmi, sperm konsantrasyonu ve sperm motilitesi WHO (Dünya Sağlık Örgütü) kılavuzlarına göre değerlendirildi. Hasta yaşı 16 ile 52 arasında değişmekte olup, yaş ortalaması 27.20±6.74'tü. Sigara kullanımı değerlendirildiğinde hastaların %52.82'sinin (n=220) sigara içmediği, hastaların %13.8'inin (n=52) günde 10 adetten az sigara içtiği, %28.0'ının (n=106) günde 10 ve üzeri sigara içtiği belirlendi. Varikoselektomi sonrası sperm konsantrasyonu ve motilite oranlarındaki iyileşme 10 ve üzeri sigara içen grupta diğer gruplara göre daha düşük saptandı. Varikoselektomi ameliyatı sonrası iyileşme sürecinde sigaranın olumsuz rol oynadığı gösterilmiştir.

Anahtar Kelimeler:

Interfilite, Sigara, Semen parametreleri, Varikoselektomi, Varikosel.

NEGATIVE EFFECTS OF SMOKING ON SEMEN PARAMETERS AFTER VARICOCELECTOMY

The negative effects of varicocele and smoking on infertility are known. In our study, we aimed to evaluate the effect of smoking on the healing process after varicocelectomy. 378 male patients who have undergone varicocelectomy operation were included in the study. Patients were divided into three groups as non-smokers, patients, who smoke less than 10 cigarettes per day, and patients who smoke 10 or more cigarettes per day. Semen analysis of the patients before varicocelectomy operation and three months after varicocelectomy operation were evaluated and semen volume, sperm concentration and sperm motility were evaluated according to WHO (World Health Organizations) guidelines. Patient age changed between 16 and 52 and the mean age was 27.20±6.74. When cigarette usage was evaluated, it was determined that 52.82% of patients (n=220) were non-smokers, 13.8% of patients (n=52) smoke less than 10 cigarettes per day and 28.0% of patients (n=106) smoke 10 or more cigarettes per day. Improvement in sperm concentration and motility rates after varicocelectomy was determined to be lower in 10 or more cigarette smoking group compared to other groups. It is shown that cigarettes play a negative role in recovery process after varicocelectomy operation.

Keywords:

Infertility, Smoke, Semen parameters, Varicocelectomy, Varicocele.,

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