Document Detail

Impact of a second semen analysis on a treatment decision making in the infertile man with varicocele.
MedLine Citation:
PMID:  18384779     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the impact of second semen analysis (SA) on a treatment decision in infertile men with varicocele and abnormal first SA. DESIGN: Retrospective chart review. SETTING: University hospital. INTERVENTION: None. MAIN OUTCOME MEASURE(S): Standard clinical semen analysis. PATIENT(S): A total of 160 infertile men with varicocele and abnormal first SA were evaluated. Two SA were performed in the same andrology lab 3 to 8 weeks apart. Exclusion criteria were azoospermia, low semen volume, leukocytospermia, febrile illness within 3 months, and habitual heat exposure. RESULT(S): Despite fluctuation in absolute values of sperm concentration, motility, and morphology, the second SA remained abnormal in 111 out of 112 men (99.1%) with abnormal first SA. CONCLUSION(S): Initial abnormal SA is a sufficient indication for varicocele treatment because in most patients the second SA remains abnormal and does not change treatment decision. This approach will expedite treatment of infertile men with varicocele and increase its cost effectiveness.
Alek Mishail; Susan Marshall; David Schulsinger; Yefim Sheynkin
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Publication Detail:
Type:  Journal Article     Date:  2008-04-01
Journal Detail:
Title:  Fertility and sterility     Volume:  91     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-07     Completed Date:  2009-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1809-11     Citation Subset:  IM    
Department of Urology, State University of New York at Stony Brook, Stony Brook, New York 11794-8093, USA.
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MeSH Terms
Decision Making
Infertility, Male / therapy*
Retrospective Studies
Semen Analysis*
Varicocele / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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