The effect of left varicocele restoration surgery on spermatogenesis in cryptozoospermic or azoospermic men with left varicocele (Doctoral thesis)

Γιαννάκης, Ιωάννης

According to the guidelines of the European Association of Urology and the Worth Health Organisation (WHO) as infertility defined the “the inability of a sexually active, non-contracepting couple to achieve spontaneous pregnancy in one year”. In 1/3 of the cases woman-infertility-associated factor is found, in 1/3 of cases male-infertility-associated factor is found and in 30% organical causes couldn`t be found (idiopathic male infertility). The existence of varicocele is instrumental in the male infertility. We conducted a prospective non-randomised study including 45 patients classified in 2 groups. In group A counted in patients, who underwent surgical repair of varicocele due to a minimal invasive subinguinal micro surgery. The patients who preffered a conservative treatment were included in group B. The follow up our study was determined 6 months postoperatively. Our study showed an improvement of spermatogenesis and of testicular function with increase of testosterone in the patients after surgical treatment. However, because of the high rates of recidive of azoospermia, spermine cryoconservation or testicular sperm extraction (TESE) should be recommended.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Subject classification: Κιρσοκήλη
Keywords: Κιρσοκήλη,Υπογονιμότητα,Χειρουργική αποκατάσταση,Varicocele,Ιnfertility,restoration surgery
Appears in Collections:Διδακτορικές Διατριβές

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