Article Sidebar

PDF
Date Published: 08/07/2022
Online Published: 08/07/2022
Abstract Views: 459
Views PDF: 132
DOI: https://doi.org/10.55046/vjrnm.34.584.2019
Issue
No. 34 (2019)
Section
Scientific research
How to Cite
Le, V. K., Nguyen, T. B. N., Phan, P. H. G., Do, H. H., & Nguyen, X. H. (2022). Evaluation of changes in semen, sex hormones after intervention in varicocele. Vietnamese Journal of Radiology and Nuclear Medicine, 34, 75-80. https://doi.org/10.55046/vjrnm.34.584.2019

Evaluation of changes in semen, sex hormones after intervention in varicocele

Le Van Khanh1, Nguyen Thi Bich Ngoc1, Phan Hoang Giang1, Do Huy Hoang1, Nguyen Xuan Hien1,
1 Center for Diagnostic Imaging, Bach Mai Hospital

Main Article Content

Abstract

SUMMARY


Purpose: Evaluating the technical feasibility an semen quality after intervention of varicocele.
Subjects and research methods: Among 101 patients treated with varicocele emboization during 2 years. With 50 patients were followed up
before and after embolization 6 months by the size of the vein, testes, and semen index including concentration, morphology, mobility, hormonal (including Testosterol, LH, FSH). Technical details, reasons for the failure
of the procedure are noted. Using pairing comparison algorithm before and after treatment.
Results: 100% technical success. The indicators of spermatozoa including sperm concentration, morphology and mobility were improved
with the reliability of 95%, especially sperm motility index, PR - sperm rised signigicantly with Z = 4,1 ± 1,51 (before and after treatment). The
index of testosterol hormones increased significantly after treatment with Z = 1.81 ± 1.32, LH and TSH hormonal indexes did not change
significantly.
Conclusion: Intervention of varicococele has been shown to be effective in improving semen and testosterone index.

Article Details

Keywords

Intervention of varicocele, Sperm, testosterone index

References

TÀI LIỆU THAM KHẢO
1. Donovan A: Laparoscopic varix ligation. J Urol 147: 77–81, 1992.
2. Storm, D. W., M. J. Hogan, V. R. Jayanthi(2010), Initial experience with percutaneous selective embolization: A
truly minimally invasive treatment of the adolescent varicocele with no risk of hydrocele development, J Pediatr Urol. 6(6): p. 567-71.
3. Yavetz, H., et al.(1992), Efficacy of varicocele embolization versus ligation of the left internal spermatic vein for improvement of sperm quality, International Journal of Andrology. 15(4): p. 338-344.
4. Nabi, G., et al.(2004), Percutaneous embolization of varicoceles: outcomes and correlation of semen improvement with pregnancy, Urology. 63(2): p. 359-63.
5. Feneley, M. R., et al.(1997), Retrograde embolization and causes of failure in the primary treatment of varicocele, Br J Urol. 80(4): p. 642-6.
6. Gat, Y., et al.(2004), Elevation of serum testosterone and free testosterone after embolization of the internal spermatic vein for the treatment of varicocele in infertile men, Hum Reprod. 19(10): p. 2303-6.
7. Lee, H. J., et al.(2011), Clinical characteristics and surgical outcomes in adolescents and adults with varicocele, Korean J Urol. 52(7): p. 489-93.
8. Shiraishi, K., H. Takihara, H. Matsuyama(2010), Elevated scrotal temperature, but not varicocele grade, reflects testicular oxidative stress-mediated apoptosis, World J Urol. 28(3): p. 359-64.
9. Tanrikut, Cigdem, et al.(2011), Varicocele as a risk factor for androgen deficiency and effect of repair, BJU International: p. no-no
10. BIGOT, et al. (1985), Sclérose des varicocèles. A propos de 132 cas. Vol. 19. Paris, FRANCE: Elsevier.