Speciality Medical Dialogues
    • facebook
    • twitter
    Login Register
    • facebook
    • twitter
    Login Register
    • Medical Dialogues
    • Education Dialogues
    • Business Dialogues
    • Medical Jobs
    • Medical Matrimony
    • MD Brand Connect
    Speciality Medical Dialogues
    • Editorial
    • News
        • Anesthesiology
        • Cancer
        • Cardiac Sciences
        • Critical Care
        • Dentistry
        • Dermatology
        • Diabetes and Endo
        • Diagnostics
        • ENT
        • Featured Research
        • Gastroenterology
        • Geriatrics
        • Medicine
        • Nephrology
        • Neurosciences
        • Nursing
        • Obs and Gynae
        • Ophthalmology
        • Orthopaedics
        • Paediatrics
        • Parmedics
        • Pharmacy
        • Psychiatry
        • Pulmonology
        • Radiology
        • Surgery
        • Urology
    • Practice Guidelines
        • Anesthesiology Guidelines
        • Cancer Guidelines
        • Cardiac Sciences Guidelines
        • Critical Care Guidelines
        • Dentistry Guidelines
        • Dermatology Guidelines
        • Diabetes and Endo Guidelines
        • Diagnostics Guidelines
        • ENT Guidelines
        • Featured Practice Guidelines
        • Gastroenterology Guidelines
        • Geriatrics Guidelines
        • Medicine Guidelines
        • Nephrology Guidelines
        • Neurosciences Guidelines
        • Obs and Gynae Guidelines
        • Ophthalmology Guidelines
        • Orthopaedics Guidelines
        • Paediatrics Guidelines
        • Psychiatry Guidelines
        • Pulmonology Guidelines
        • Radiology Guidelines
        • Surgery Guidelines
        • Urology Guidelines
    LoginRegister
    Speciality Medical Dialogues
    LoginRegister
    • Home
    • Editorial
    • News
      • Anesthesiology
      • Cancer
      • Cardiac Sciences
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endo
      • Diagnostics
      • ENT
      • Featured Research
      • Gastroenterology
      • Geriatrics
      • Medicine
      • Nephrology
      • Neurosciences
      • Nursing
      • Obs and Gynae
      • Ophthalmology
      • Orthopaedics
      • Paediatrics
      • Parmedics
      • Pharmacy
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
    • Practice Guidelines
      • Anesthesiology Guidelines
      • Cancer Guidelines
      • Cardiac Sciences Guidelines
      • Critical Care Guidelines
      • Dentistry Guidelines
      • Dermatology Guidelines
      • Diabetes and Endo Guidelines
      • Diagnostics Guidelines
      • ENT Guidelines
      • Featured Practice Guidelines
      • Gastroenterology Guidelines
      • Geriatrics Guidelines
      • Medicine Guidelines
      • Nephrology Guidelines
      • Neurosciences Guidelines
      • Obs and Gynae Guidelines
      • Ophthalmology Guidelines
      • Orthopaedics Guidelines
      • Paediatrics Guidelines
      • Psychiatry Guidelines
      • Pulmonology Guidelines
      • Radiology Guidelines
      • Surgery Guidelines
      • Urology Guidelines
    • Home
    • Editors Pick
    • Microsurgical repair...

    Microsurgical repair of even subclinical Varicoceles improves Fertility in men

    Written by Dr. Kamal Kant Kohli Kohli Published On 2018-07-24T20:20:20+05:30  |  Updated On 24 July 2018 8:20 PM IST
    Microsurgical repair of even subclinical Varicoceles improves Fertility in men
    Researchers have found that Microsurgical repair of even subclinical Varicoceles improves Fertility in men comparable to Clinical or palpable Varicoceles. The study has appeared in Urology. Usually subclinical or nonpalpable varicoceles is managed by observation due to their perceived minimal impact on fertility.

    Varicoceles are the most common diagnosis in men questioning their fertility, their diagnosis and treatment can be confused by a complete dependence on the physical exam.

    Dr.Nannan Thirumavalavan at Department of Urology, Baylor College of Medicine, Houston, Texas and associates have conducted a study to determine if subclinical varicocele repair produces semen analysis results of subfertile men in a clinically meaningful way similar to palpable varicocele repair.

    The researchers performed a retrospective review on 190 infertile men who underwent a microsurgical varicocele repair by two surgeons from 2009 to 2017. Varicoceles were diagnosed by both physical exam and ultrasound and subsequently classified as “palpable” or “subclinical.” Subclinical varicoceles were not readily palpable on physical examination and were further defined as possessing veins in excess of 3.0 mm of diameter with retrograde flow on Valsalva while standing.


    The subjects were stratified into one of three categories based on their pre- and postoperative semen analysis parameters, as defined by their total motile count (TMC) and eligibility for specific assisted-reproductive technology (ART) procedures: IVF (<5 million TMC), IUI (5–9 million TMC), and natural pregnancy (>9 million TMC). Changes in category after varicocele repair were assessed and the proportion of men in each category with clinical varicoceles to those with subclinical varicoceles were compared.


    It was found that after varicocelectomy, the entire cohort experienced a mean improvement in their TMC of 8.9 million. Out of total men who were preoperatively characterized as IVF-only candidates, 49% remained in this group, 13% were upgraded to IUI, and 38% were upgraded to a natural pregnancy. The differential between these two increases in TMC was not found to be statistically significant, whereas the rates of “upgrade” between men with palpable and subclinical varicoceles were similar.


    The authors concluded that Men with subclinical varicoceles have similar, clinically meaningful improvement in total motile sperm count ( TMC0 after varicocele repair compared to men with palpable varicoceles. There was no difference between the groups for clinical improvement in terms of intrauterine insemination and natural pregnancy.


    For further reference log on to: https://doi.org/10.1016/j.urology.2018.06.036
    infertilitysperm countsubclinicalTMCtotal motile sperm countUltrasoundVaricocelevaricocele repairvaricocelectomy
    Source : With inputs from Urology

    Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

    Dr. Kamal Kant Kohli Kohli
    Dr. Kamal Kant Kohli Kohli
      Show Full Article
      Next Story
      Similar Posts
      NO DATA FOUND

      • Email: info@medicaldialogues.in
      • Phone: 011 - 4372 0751

      Website Last Updated On : 12 Oct 2022 7:06 AM GMT
      Company
      • About Us
      • Contact Us
      • Our Team
      • Reach our Editor
      • Feedback
      • Submit Article
      Ads & Legal
      • Advertise
      • Advertise Policy
      • Terms and Conditions
      • Privacy Policy
      • Editorial Policy
      • Comments Policy
      • Disclamier
      Medical Dialogues is health news portal designed to update medical and healthcare professionals but does not limit/block other interested parties from accessing our general health content. The health content on Medical Dialogues and its subdomains is created and/or edited by our expert team, that includes doctors, healthcare researchers and scientific writers, who review all medical information to keep them in line with the latest evidence-based medical information and accepted health guidelines by established medical organisations of the world.

      Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription.Use of this site is subject to our terms of use, privacy policy, advertisement policy. You can check out disclaimers here. © 2025 Minerva Medical Treatment Pvt Ltd

      © 2025 - Medical Dialogues. All Rights Reserved.
      Powered By: Hocalwire
      X
      We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok