Association between varicocele grade and semen analysis parameter

  • Ira Ariyati Department of Radiology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Rahmad Mulyadi Department of Radiology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Ponco Birowo Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Budi Wiweko Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Joedo Prihartono Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta
Keywords: semen analysis, ultrasound examination, varicocele’s grade
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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.

Author Biography

Rahmad Mulyadi, Department of Radiology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Department of Radiology, Faculty of Medicine, University of Indonesia, Ciptomangunkusumo Hospital

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.

Published
2018-02-14
How to Cite
1.
Ariyati I, Mulyadi R, Birowo P, Wiweko B, Prihartono J. Association between varicocele grade and semen analysis parameter. Med J Indones [Internet]. 2018Feb.14 [cited 2019Nov.22];26(4):270-6. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1623
Section
Clinical Research

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