Association between varicocele grade and semen analysis parameter

Ira Ariyati, Rahmad Mulyadi, Ponco Birowo, Budi Wiweko, Joedo Prihartono



DOI: https://doi.org/10.13181/mji.v26i4.1623

Abstract


Background: Varicocele is a condition characterized by elongation, dilatation and tortuousity of spermatic vein in pampiniform plexus. Approximately 50% of infertility cases among men are caused by varicocele. The varicocele may affect the components of sperm. This study aimed to determine the association between varicocele grade based on ultrasound Doppler examination and sperm concentration, sperm motility, and sperm morphology based on semen analysis examination.

Methods: This was a descriptive, cross-sectional study which used secondary data from 85 patients that visited Department of Urology, Cipto Mangunkusumo Hospital, then underwent ultrasonography examination at Department of Radiology, Cipto Mangunkusumo Hospital and semen analysis examination at Department of Obstetrics and Gynecology, Cipto Mangunkusumo General Hospital.

Results: Varicocele grade was significantly associated with sperm morphology, concentration and motility (all p<0.05). Significant association was found between maximum condition and semen analysis component.

Conclusion: Varicocele grade may affect semen analysis component.


Keywords


semen analysis; ultrasound examination; varicocele’s grade

Full Text:

PDF

References


  1. Will MA, Swain J, Fode M, Sonksen J, Chistman GM, Ohl D. The great debate: Varicocele treatment and impact on fertility. Fertil Steril. 2011;95(3):841–52. https://doi.org/10.1016/j.fertnstert.2011.01.002
  2. Al-Ali BM, Marszalek M, Syamloul R, Pummer K, Trummer H. Clinical parameters and semen analysis in 716 Austrian patients with varicocele. Urology. 2010;75(5):1069–73. https://doi.org/10.1016/j.urology.2009.11.042
  3. Abdel-Meguid TA, Al-Sayyad A, Tayib A, Farsi HM. Does Varicocele Repair Improve Male Infertility? An Evidence-Based Perspective From a Randomized, Controlled Trial. Eur Urol. 2011;59:455–61. https://doi.org/10.1016/j.eururo.2010.12.008
  4. Mori MM, Bertolla RP, Fraietta R, Ortiz V, Cedenho AP. Does varicocele grade determine extent of alteration to spermatogenesis in adolescents. Fertil Steril. 2008;90(5):1769–73. https://doi.org/10.1016/j.fertnstert.2007.09.052
  5. Yasumoto R, Kobayakawa H, Kawamura M, Iwai S, Yuuki K, Ohyama T, et al. Clinical studies of varicocele report 1: Clinical statistical analysis of varicocele. Kurenai. 1988;34:309–11.
  6. Pilatz A, Altinkilic B, Kohler E, Marconi M, Weidner W. Color doppler ultrasound imaging in varicoceles is the venous diameter sufficient for predicting clinical and subclinical varicocele. World J Urol. 2011;29(5):645–50. https://doi.org/10.1007/s00345-011-0701-4
  7. WHO Laboratory Manual for the Examination and Processing of Human Semen. Fifth edition. 2010.
  8. Esteves SC, Miyaoka R, Agarwal A. An update on the clinical assessment of the infertile male. Clinics (Sao Paulo). 2011;66(4):691–700. https://doi.org/10.1590/S1807-59322011000400026
  9. Roth M, Amory J, Page ST. Treatment of male infertility secondary to morbid obesity. Nat Clin Pract Endocrinol Metab. 2008;4(7):415–9. https://doi.org/10.1038/ncpendmet0844
  10. Hasan R, Dian A, Hanif M, Yusuf A, Hassan H. Comparison of the efficacy of laparoscopic versus open high ligation of varicoceles. Ann Pak Inst Med Sci. 2013;9(2):68–73.
  11. Abbas MW, Kamal M, Murtaza G. Varicocele; comparison of complications in open surgery versus laparoscopic surgical management of varicocele among adolescents at a tertiary care hospital. Professional Med J. 2017;24(8):1099–104. https://doi.org/10.17957/TPMJ/17.4169
  12. Kantartzi PD, Goulis ChD, Goulis GD, Papadimas I. Male infertility and varicocele myths and reality. Hippokratia. 2007;11(3):99–104.





Copyright (c) 2018 Ira Ariyati, Rahmad Mulyadi, Ponco Birowo, Budi Wiweko, Joedo Prihartono

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

All articles and issues in Medical Journal of Indonesia have unique DOI number registered in Crossref.
 
Romeo
 
http://mji.ui.ac.id/journal/index.php/mji/pages/view/stat 
Unique Visitors