Benefits of Laparoscopic Varicocelectomy on Sperm Parameters and Pregnancy Rates in Infertile Males with A Varicocele

Abd-Elzaher, Haidi; Marie, Ahmed E.; Gomaa, Ayman M.

doi:10.21608/ejhm.2023.305563

Benefits of Laparoscopic Varicocelectomy on Sperm Parameters and Pregnancy Rates in Infertile Males with A Varicocele

Document Type : Original Article

Authors

10.21608/ejhm.2023.305563

Abstract

Background: A varicocele is among the most often reported reasons for male infertility. Malfunctioning of the testicles is a potential consequence. Semen quality and postoperative spontaneous conception can both be enhanced by varicocelectomy. There are a variety of surgical techniques available for varicocelectomy. Decreased analgesic need, quicker rates of return to work, and lower morbidity were all associated with laparoscopic varicocele ligation. as opposed to the conventional open surgical method. Objective: The aim of the current study was to determine the impact of laparoscopic varicocelectomy on postoperative sperm parameters and spontaneous pregnancy rates in varicocele-related infertile men. Patients and methods: A total of 34 individuals who underwent laparoscopic varicocelectomy for primary varicocele and infertility were included for this retrospective study.We contrasted the concentration and motility of their semen after 3 and 6 months following surgery with the preoperative values along with the spontaneous pregnancy of their partner at >12 months postoperatively. Results: The research was done on patients aged between 20-40 years, who underwent laparoscopic varicocelectomy with a mean age of 28.4 years. At the third to sixth months following surgery, semen parameter findings improved, the difference between the semen parameters per and postoperatively assures that sperm motility and count both significantly increase at 6 months. About 38.2% of the following partners conceived successfully during the first year. Conclusion: Despite the results of their semen analysis, a noticeable rise in the success rate of spontaneous conception in infertile males was seen during the observation period. Laparoscopic varicocelectomy is therefore advised as a viable surgical treatment for varicocele.

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