Evaluation of the influence of subinguinal varicocelectomy procedure on seminal parameters, reproductive hormones and testosterone/estradiol ratio

• Published in: Archivio italiano di urologia, andrologia Vol. 92; no. 2
• Main Authors: Öztekin, Ünal, Caniklioglu, Mehmet, Sarı, Sercan, Selmi, Volkan, Gürel, Abdullah, Taspınar, Mehmet Sakir, Isıkay, Levent
• Format: Journal Article
• Language: English
• Published: Italy PAGEPress Publications 24-06-2020
• Subjects: Adolescent; Adult; Estradiol - blood; Follicle Stimulating Hormone - blood; Humans; Inguinal Canal; Luteinizing Hormone - blood; Male; Prolactin - blood; Reproductive hormones; Retrospective Studies; Semen Analysis; Semen parameters; Testosterone; Testosterone - blood; Testosterone/Estradiol ratio; Urologic Surgical Procedures, Male - methods; Varicocele; Varicocele - surgery; Young Adult
• ISSN: 1124-3562; 2282-4197
• DOI: 10.4081/aiua.2020.2.158

Varicocele is the most commonly surgically curable cause of male infertility. However, the mechanisms related to the effect of reducing fertility potential have not been clearly identified. The aim of this study was to investigate the effects of varicocelectomy on semen parameters, reproductive hormones and testosterone / estradiol ratio. Matherial and methods: Fifty seven patients outcomes were evaluated before and 6 months after subinguinal microsurgical varicocelectomy. Semen parameters, reproductice hormones and testosteron/estradiol ratio results of patients were compared retrospectively.
The mean age was 26.8 years. Fifty four (94.7%) patients had grade 3 and 3 (5.3%) patients had grade 2 varicocele. There was a significant increase in semen parameters except semen volume. There was a statistically significant increase in serum testosterone levels, but not on testosterone/ estradiol ratio.
According to our results, microsurgical subinguinal varicocelectomy can be recommended for both improving semen parameters and hormonal recovery.