Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study

Varicocele in infertile males is associated with Leydig cell dysfunction and hypogonadism. The effect of varicocelectomy on serum testosterone level is not yet established. We analysed 200 heterosexual infertile men diagnosed to have clinical varicocele they were divided into two groups: group 1 (10...

Full description

Saved in:
Bibliographic Details
Main Authors: Vasan Sathya Srini, Srinivas Belur Veerachari
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2011/916380
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849397922031992832
author Vasan Sathya Srini
Srinivas Belur Veerachari
author_facet Vasan Sathya Srini
Srinivas Belur Veerachari
author_sort Vasan Sathya Srini
collection DOAJ
description Varicocele in infertile males is associated with Leydig cell dysfunction and hypogonadism. The effect of varicocelectomy on serum testosterone level is not yet established. We analysed 200 heterosexual infertile men diagnosed to have clinical varicocele they were divided into two groups: group 1 (100 men) had microsurgical varicocelectomy, and group 2 (100 patients) underwent assisted reproduction procedures. All participants had semen analysis, serum levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and total testosterone (TT), measured both at recruitment time and 6 months later. In group 1, the mean TT level increased significantly after varicocelectomy (1.644±0.029 to 2.461±0.0198 ng/dL, P<0.0001) and testicular size correlated with the mean change in TT (P=0.001). No similar change was found in group 2. Out of the 100 patients in group 1, 78 had postoperative normalization of TT unlike only 16 men in group 2.
format Article
id doaj-art-a67fa6d9c4e44a55881a9d81bd7bca25
institution Kabale University
issn 1687-8337
1687-8345
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series International Journal of Endocrinology
spelling doaj-art-a67fa6d9c4e44a55881a9d81bd7bca252025-08-20T03:38:48ZengWileyInternational Journal of Endocrinology1687-83371687-83452011-01-01201110.1155/2011/916380916380Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective StudyVasan Sathya Srini0Srinivas Belur Veerachari1Department of Andrology, Ankur Health Care Private Limited, No. 55, 20th Main, 1st Block, Rajajinagar, Bengaluru 560010, IndiaDepartment of Andrology, Ankur Health Care Private Limited, No. 55, 20th Main, 1st Block, Rajajinagar, Bengaluru 560010, IndiaVaricocele in infertile males is associated with Leydig cell dysfunction and hypogonadism. The effect of varicocelectomy on serum testosterone level is not yet established. We analysed 200 heterosexual infertile men diagnosed to have clinical varicocele they were divided into two groups: group 1 (100 men) had microsurgical varicocelectomy, and group 2 (100 patients) underwent assisted reproduction procedures. All participants had semen analysis, serum levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and total testosterone (TT), measured both at recruitment time and 6 months later. In group 1, the mean TT level increased significantly after varicocelectomy (1.644±0.029 to 2.461±0.0198 ng/dL, P<0.0001) and testicular size correlated with the mean change in TT (P=0.001). No similar change was found in group 2. Out of the 100 patients in group 1, 78 had postoperative normalization of TT unlike only 16 men in group 2.http://dx.doi.org/10.1155/2011/916380
spellingShingle Vasan Sathya Srini
Srinivas Belur Veerachari
Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study
International Journal of Endocrinology
title Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study
title_full Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study
title_fullStr Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study
title_full_unstemmed Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study
title_short Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility? Analysis of a Prospective Study
title_sort does varicocelectomy improve gonadal function in men with hypogonadism and infertility analysis of a prospective study
url http://dx.doi.org/10.1155/2011/916380
work_keys_str_mv AT vasansathyasrini doesvaricocelectomyimprovegonadalfunctioninmenwithhypogonadismandinfertilityanalysisofaprospectivestudy
AT srinivasbelurveerachari doesvaricocelectomyimprovegonadalfunctioninmenwithhypogonadismandinfertilityanalysisofaprospectivestudy