PROSPECTIVE COMPARATIVE STUDY OF OPEN AND MICROSCOPIC (LOUPE -4X MAGNIFICATION) VARICOCELECTOMY USING SEMINAL AND HORMONAL PARAMETERS IN GRADES II AND III VARICOCELES
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Keywords
Varicocelectomy, Semen Analysis, Hormonal Assays, Infertility
Abstract
BACKGROUND
Varicocele affects various parameters of male fertility, and varicocelectomy produces significant improvement in these parameters. Both seminal and hormonal factors are found to be affected by varicocele. Varicocele is an important cause of infertility and it is important to know the effects of varicocelectomy to prognosticate and treat varicocele effectively.
AIMS
To find out seminal & hormonal abnormalities in cases of grade II & III varicoceles and analyse the results of sub inguinal opening & microscopic (loupe) method of varicocelectomy on seminal & hormonal parameters.
METHODS
60 patients with varicocoele who underwent open and loupe 4 microscopic varicocelectomy were compared for seminal and hormonal parameters pre-operatively and post-operatively and the results were statistically analysed.
RESULTS
There were significant postoperative increases in serum Testosterone and seminal parameters like sperm concentration, count, motility and morphology. There was significant reduction of serum FSH (Follicle – Stimulating Hormone) and LH (Luteinizing Hormone) after surgery in both groups. Operative time was higher in microscopic technique and lesser complications.
CONCLUSIONS
Both open & microscopic subinguinal varicocele ligation resulted in significant improvement in all seminal parameters, testicular volume & serum testosterone with significant decrease in serum FSH & LH in patients with grade II & III varicoceles.
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Dr. Subrata Bhowmick
Ex- Assistant Professor, Department of Urology, AGMC and GBPH College, Agartala, Tripura West, India.
Dr. Mrinal Kanti Debbarma
Grade ll of THS, Anaesthesiologist, Agartala Government Medical College, Agartala, West Tripura, Tripura, India.