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Journals / Acta Medica Alanya / 2026 / Cilt: 2 Sayı: 1

The Effect of Varicocelectomy on Semen Anaysis and Pregnancy in Infertile Males

İnfertil Erkeklerde Varikoselektominin Semen Analizi ve Gebelik Üzerine Etkileri

Ercan Öğreden(GİRESUN ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI)0000-0002-3779-740X
Ural Oğuz(GİRESUN ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI)
Abdullah Çırakoğlu(Ordu Universitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Ordu)
Erdal Benli(Ordu Universitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Ordu)
Erhan Demirelli(Giresun Universitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Giresun)
Orhan Yalçın(Giresun Universitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Giresun)
Pages
20–23
Publication Date
2018-03-12
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Consisted to the existing literature, our study has demonstrated the positive effects of microscopic varicocelectomy on semen analysis and pregnancy rates.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: We aimed to investigate the effects of varicocelectomy on semen analysis and pregnancy in infertile men.
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Key Findings & Data:Patients and Methods: We retrospectively reviewed the medical records of patients underwent varicoselectomy between 2009 and 2014 in two referal hospitals, and 180 infertile patients with complete records were included.
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Conclusion & Impact:Conclusion: Consisted to the existing literature, our study has demonstrated the positive effects of microscopic varicocelectomy on semen analysis and pregnancy rates.
🔬Design:Review & Systematic Survey
📍Scope:2009 Verileri
⚙️Variables:Varikosel · Erkek infertilitesi · Semen analizi

Abstract

Aim: We aimed to investigate the effects of varicocelectomy on semen analysis and pregnancy in infertile men. Patients and Methods: We retrospectively reviewed the medical records of patients underwent varicoselectomy between 2009 and 2014 in two referal hospitals, and 180 infertile patients with complete records were included. All surgeries were performed by using a microscope or loop. The preoperative and postoperative sperm parameters and spontaneous pregnancy rates were evaluated. Results: Mean age of the patients was 29.6 (17-46) years. 99 (55%) of the patients achieved spontaneous pregnancy after the surgery. 81 (45%) of the patients were guided to infertility polyclinics for assisted reproductive methods. When the sperm parameters were analyzed, the rate of the patients who had improved sperm concentrations were 22.7%; the rate of the patients who had improved sperm motility (a+b) was 59.4%; the rate of the patients who had improved sperm morphology was 51.1 (p<0.05). Conclusion: Consisted to the existing literature, our study has demonstrated the positive effects of microscopic varicocelectomy on semen analysis and pregnancy rates.

Özet

Amaç: Primer infertil erkeklerde mikroskobik varikoselektomi ameliyatının semen analizi ve gebelik üzerine etkilerini değerlendirmeyi amaçladık. Hastalar ve Yöntem: İki merkezde 2009-2014 yılları arasında, tek taraflı ya da bilateral mikroskobik varikoselektomi yapılan hastaların verileri retrospektif olarak incelendi ve kayıtları tam olan 180 primer infertil hasta çalışmaya dahil edildi. Tüm hastalarda büyüteç olarak mikroskop ya da loop kullanılarak işlem gerçekleştirildi. Hastaların preoperatif ve postoperatif sperm parametreleri ve spontan gebelik oranları karşılaştırıldı. Bulgular: Hastaların yaş ortalaması 29.6 (17-46) yıl idi. 99 (%55) hastada cerrahi sonrası spontan gebelik sağlanırken, 81 (%45) hasta yardımcı üreme yöntemleri için infertilite polikliniğine yönlendirildi. Sperm parametreleri irdelendiğinde, konsantrasyonunda düzelme saptanan hasta oranı %22.7; hareketlilikte (a+b) düzelme saptanan hasta oranı %59.4; morfolojide düzelme saptanan hasta oranı oranı ise %51.1 olarak tespit edildi (p<0.05). Sonuç: Bu çalışma, literatür verileriyle uyumlu olarak primer infertil hastalarda mikroskopik varikoselektominin semen analizi ve gebelik üzerine olan olumlu katkısını ortaya koymuştur.

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Cite This Article

Öğreden, E., Oğuz, U., Çırakoğlu, A., Benli, E., Demirelli, E., Yalçın, O. (2018). The Effect of Varicocelectomy on Semen Anaysis and Pregnancy in Infertile Males. Acta Medica Alanya, Cilt: 2 Sayı: 1, 20–23. https://doi.org/10.30565/medalanya.378583

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