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Does varicocelectomy improve semen in men with azoospermia and clinically palpable varicocele?
Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar. (Individ och samhälle VIDSOC, Individual and Society)ORCID iD: 0000-0003-0961-1302
Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar / American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA.
Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar / American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA / Department of Andrology, Cairo University, Egypt.
2020 (English)In: Andrologia, ISSN 0303-4569, E-ISSN 1439-0272, Vol. 52, no 2, article id e13486Article in journal (Refereed) Published
Abstract [en]

The effectiveness of varicocelectomy in nonobstructive azoospermia is controversial. The current study assessed the efficacy of microsurgical subinguinal varicocelectomy in nonobstructive azoospermic men with palpable varicocele and to evaluate predictive parameters of outcome. We reviewed the records of 723 patients who had microsurgical varicocelectomy and diagnostic testicular biopsy between 2012 and 2016 at a tertiary medical centre. Data pertaining to the physical, laboratory (semen analysis and hormonal profile) and histopathology features were examined, exploring the predictors of improvement in semen analysis post-varicocelectomy. In total, 42 patients with mean age 35.71 +/- 6.35 years were included. After a mean varicocelectomy follow-up of 6.7 months, motile spermatozoa in the ejaculate could be observed in 11 patients (26.2). Out of all the factors examined, only testicular histopathology significantly predicted post-varicocelectomy outcome, where 8/11 patients exhibited hypospermatogenesis, and 3/11 Sertoli cell-only regained spermatozoa in semen. Microsurgical varicocelectomy in nonobstructive azoospermic men with clinically palpable varicocele can result in sperm appearance in the ejaculate with the highest success expected in hypospermatogenesis.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2020. Vol. 52, no 2, article id e13486
Keywords [en]
nonobstructive azoospermia, spermatozoa, varicocele, varicocelectomy
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Individual and Society VIDSOC
Identifiers
URN: urn:nbn:se:his:diva-18034DOI: 10.1111/and.13486ISI: 000501904700001PubMedID: 31825116Scopus ID: 2-s2.0-85076342227OAI: oai:DiVA.org:his-18034DiVA, id: diva2:1381717
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-02-24Bibliographically approved

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El Ansari, Walid

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