Document Detail


Improved fertility after varicocele correction: fact or fiction?
MedLine Citation:
PMID:  6745458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fertility after varicocele correction by embolization of the vena spermatica in 62 subjects was compared with fertility in an untreated group (n = 20) of subjects with varicocele. One year after varicocele correction of infertile males with oligozoospermia, asthenozoospermia, or teratozoospermia but normal follicle-stimulating hormone levels, 15 of 62 had achieved a pregnancy; in the untreated group, 8 had achieved a pregnancy. Comparison of results by cumulative pregnancy rate analysis reveals that the pregnancy rate was only marginally higher in the treated group. Varicocele correction induced only a modest improvement of sperm quality; the severity of varicocele had no influence either on sperm characteristics or on the outcome of treatment. It is concluded that the effects of varicocele correction on the pregnancy rate can be seriously doubted and that large-scale prospective studies are urgently required to determine whether or not varicocele correction improves the pregnancy rate and which subjects could eventually benefit from the treatment.
Authors:
A Vermeulen; M Vandeweghe
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Fertility and sterility     Volume:  42     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1984-09-10     Completed Date:  1984-09-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  249-56     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fertility*
Humans
Infertility, Male / surgery*
Male
Pregnancy
Semen / analysis
Sperm Count
Sperm Motility
Varicocele / surgery*

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


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