Evaluation of Changes in Semen Parameters Following Varicocelectomy in Varicocele Patients

Normally reverse blood flow is prevented by small one way valves. [...]absent or incomplete valves in the internal spermatic vein is accompanied by a retrograde blood flow down this vein and cremasteric vein to the pampiniform plexus. Microscopic evaluation of spermatic vein fragments has revealed alterations in the longitudinal muscle layers in addition to a decrease in the number of nerve elements and "vasa-vasorum" in the vessel wall.131 These findings suggest a defective contractile mechanism of blood transport through the pampiniform plexus. Material and Methods: The study was conducted in the Department of Surgery, Government Medical College and Hospital, Jammu (Jammu and Kashmir). [9] In the study by Morshed MS et al 60% of the patients was in the age group of 26-35years of age with mean age of 28.3±6.0 years.1101 In the study by Cakiroglu B et al the mean age of patients was 24.53±8.13years.