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EVALUATION MICROSURGICAL SUBUINGVINAL VARICOCELECTOMY IN PATIENTS WITH OLIGOASTENOZOOSPERMIA

https://doi.org/10.21886/2308-6424-2016-0-1-5-11

Abstract

According to some authors, the men who come to the hospital for infertility, is found in 20-40% of varicocele, ie on average 2 times more often than in the entire male population. In our study we present the results of evaluation of the effectiveness of microsurgical subinguinal varicocelectomy in 52 patients on the background left-hand oligoasthenozoospermia varicocele 2 degrees. Treatment efficacy was assessed by the results of ultrasound of the scrotum and spermogram within 75 days. In the main group oligoasthenozoospermia method of surgical treatment in patients with varicocele grade 2, showed good efficacy. In the control group no significant changes were noted. Microsurgical subinguinal varicocelectomy shown good results in treating patients with oligoastenozospermiey. In particular there was an increase of sperm concentration and motility of sperm viscosity reduction, increased time dilution dynamics. Conservative therapy, complexes of trace elements and antioxidants in patients with oligoasthenozoospermia on the background left-hand varicocele grade 2 showed that there may be a moderate positive changes in mobility, but does not have a positive effect on sperm concentration.

About the Authors

M. K. Alchinbayev
Scientific Centre of Urology named after B.U.Dzharbussynov
Kazakhstan
Almaty city


M. A. Makazhanov
Scientific Centre of Urology named after B.U.Dzharbussynov
Kazakhstan
Almaty city


I. T. Muhamedzhan
Scientific Centre of Urology named after B.U.Dzharbussynov
Kazakhstan
Almaty city


K. Zh. Maskutov
Scientific Centre of Urology named after B.U.Dzharbussynov
Kazakhstan
Almaty city


References

1. World Health Organization. WHO Manual for the Standardised Investigation and Diagnosis of the Infertile Couple. Cambridge: Cambridge University Press, 2000.

2. Алчинбаев М. К. «Состояние мужского здоровья в Республике Казахстан». «Мужское здоровье, качество жизни, междисциплинарный подход», Пленум урологов Казахстана. Астана, 2012 г.

3. Инновационный патент на изобретение №21400 от 27.04.2009 г. Способ микрохирургического лечения обструктивной азооспермии / Алчинбаев М.К., Хусаинов Т.Э., Исмолдаев Е.Ш., Туленов Т.М., Абсиметов А.К., Нугманов Ч.А., Сулейменов Е.А. ; НЦ урологии.

4. Инновационный патент на изобретение №21407 от 27.04.2009 г. Способ эндоскопической диагностики заболеваний органов мошонки / Алчинбаев М.К., Хусаинов Т.Э., Туленов Т.М., Исмолдаев Е.Ш., Абсиметов А.К., Сулейменов Е.А., Буканов Т.М., Нугманов Ч.А.; НЦ урологии.

5. Инновационный патент на изобретение №21603 от 28.05.2009 г. Способ диагностики рецидива варикоцеле. Алчинбаев М.К., Абишев Б.Х., Буйрашев А.К., Цаава Р.В., Байтенизова А.А. ; НЦ урологии.

6. Aлчинбаев М.К., Хусаинов Т.Э., Ибраева А.Ш., Исмолдаев Е.Ш., Зазулевский С.Г., Ералиева А.У. Метод оценки интратестикулярного кровотока при мужском бесплодие - Методические рекомендации. - Астана. - 2007. – с.19

7. Marmar JL. Varicocele and male infertility: Part II.The pathophysiology of varicoceles in the light of current molecular and genetic information. Hum Reprod Update. 2001;7:461–472.

8. Pasqualotto FF, Lucon AM, De Goes PM, et al. Semen profile, testicular volume and hormonal levels in infertile patients with varicoceles compared with fertile men with and without varicoceles. Fertil Steril.2005;83:74–77.

9. Jarow JP. Effects of varicocele on male fertility. Hum Reprod Update. 2001;7:59–64.

10. Grasso M, Lania C, Castelli M, et al. Low grade left varicocele in patients over 30 years old: the effect of spermatic vein ligation. BJU Int. 2000;85:305–307.

11. Unal D, Yeni E, Verit A, Karatas OF. Clomiphene citrate versus varicocelectomy in treatment of subclinical varicocele: a prospective randomized study. Int J Urol. 2001;8:227–230.

12. Krause W, Mueller H-H, Schaefer H, Weidner W. Does treatment of varicocele improve male fertility? Results of the "Deutsche Varikozelenstudie", a multicentre study of 14 collaborating centres. Andrologia.2002;34:164–171.

13. Pasqualotto FF, Sobreiro BP, Hallak J, et al. Induction of spermatogenesis in azoospermic men after varicocelectomy repair: an update. Fertil Steril. 2006;85:635–639.

14. Schlegel PN, Kaufmann J. Role of varicocelectomy in men with nonobstructive azoospermia. Fertil Steril. 2004;81:1585–1588.

15. The Male Infertility Best Practice Policy Committee of the American Urological Association and The Practice Committee of the American Society for Reproductive Medicine. Report on varicocele and infertility.Fertil Steril. 2004;82(suppl. 1):S142–S145.

16. Penson DF, Paltiel AD, Krumholz HM, Palter S. The cost-effectiveness of treatment for varicocele related infertility. JUrol. 2002;168:2490–2494.


Review

For citations:


Alchinbayev M.K., Makazhanov M.A., Muhamedzhan I.T., Maskutov K.Zh. EVALUATION MICROSURGICAL SUBUINGVINAL VARICOCELECTOMY IN PATIENTS WITH OLIGOASTENOZOOSPERMIA. Urology Herald. 2016;(1):5-11. (In Russ.) https://doi.org/10.21886/2308-6424-2016-0-1-5-11

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