Varicocelectomy in Patients with Non-obstructive Azoospermia

Objective: We evaluated the outcomes of varicocelectomy in men with non-obstructive azoospermia (NOA) and a palpable varicocele. Materials and Methods: We retrospectively evaluated 25 male patients with NOA having a palpable varicocele, between May 2006 and December 2018. Age, duration of infertility, testicular volume, grade and side of varicocele, varicocelectomy technique, and serum follicle-stimulating hormone, serum luteinizing hormone and serum testosterone levels were analyzed. Results: The mean age of the patients was 30.68±3.91 years. Of the 25 patients, 5 (20%) had motile sperm in the ejaculate in the postoperative semen analysis. There were no predictive factors affecting the appearance of the sperm in the ejaculate. Conclusion: Varicocelectomy should be considered a treatment option for men with NOA having a palpable varicocele.

Obstrüktif Olmayan Azospermili Hastalarda Varikoselektomi

Amaç: Palpe edilebilir varikoseli ve obstrüktif olmayan azospermisi olan erkeklerin tedavisinde varikoselektomi sonucunu değerlendirdik. Gereç ve Yöntem: Mayıs 2006 ile Aralık 2018 arasında, palpe edilebilen varikoseli olan 25 obstrüktif olmayan azospermik erkeği retrospektif olarak değerlendirdik. Bu hastaların yaşı, infertilite süresi, testis hacmi, varikosel derecesi, varikoselin tarafı, varikoselektomi tekniği, serum folikül uyarıcı hormon, serum lüteinleştirici hormon ve serum testosteron düzeyleri belirlendi. Bulgular: Hastaların yaş ortalaması 30,68±3,91 yıldı. Yirmi beş hastanın 5’inde (%20) postoperatif semen analizinde ejakülatta hareketli sperm görüldü. Ejakülatta sperm görülmesini etkileyen hiçbir faktör bulunamadı. Sonuç: Palpe edilebilir varikoseli olan obstrüktif olmayan azospermik erkekler için varikoselektomi bir tedavi seçeneği olarak düşünülmelidir.

Kaynakça

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Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.1b 1.5b