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Journal of Applied Sciences
Year: 2009  |  Volume: 9  |  Issue: 14  |  Page No.: 2640 - 2644

Progressive Sperm Motility, Sperm Condensation and Spontaneous Pregnancy Rate in Infertile Varicocele Patients at 3-12 Months after Varicocelectomy

M. Jasemi, G. Saki and F. Rahim    

Abstract: To evaluate the effect of varicocele repair on sperm motility, sperm condensation and pregnancy rate in varicocele patients who referred to Department of Urology of Golestan and Apadana hospitals. The records were retrospectively evaluated for infertile patients with palpable varicocele who underwent varicocelectomy at Department of Urology of Golestan and Apadana Hospitals, Ahwaz, Iran from December 1990 to September 2008. The semen analysis of patient at pre-operatives and 3, 6 and 12 months post-operative and also pregnancy rate was calculated at 3, 6 and 12 months of follow-up. Before operation, no significant differences were seen among patients with right and left varicocele in sperm motility and condensation (p>0.05). Significant differences were seen in sperm motility and condensation of patients with bilateral varicocele compared to another patients (p<0.05). After surgery in three groups of patients with varicocele, the sperm motility and condensation significantly increased (p<0.05). Percentage of spontaneous pregnancy in 1 year after varicocele treatment is 31 to 40% of cases. The results of present study have shown that repair of varicocele by surgery significantly improved sperm motility, condensation and also 31-40% of infertile patients achieved pregnancy spontaneously.

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