Computer-assisted semen analysis parameters in men with varicocele: is surgery helpful?

To assess sperm characteristics and fertility before and after varicocelectomy using computer-assisted semen analysis (CASA). Preoperative and postoperative sperm parameters of infertile men with varicocele were analyzed statistically and the outcome of pregnancy was determined. Department of Infert...

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Veröffentlicht in:Fertility and sterility 1996-09, Vol.66 (3), p.440-445
Hauptverfasser: Parikh, Firuza R., Kamat, Sudesh A., Kodwaney, Geeta G., Balaiah, Donta
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container_end_page 445
container_issue 3
container_start_page 440
container_title Fertility and sterility
container_volume 66
creator Parikh, Firuza R.
Kamat, Sudesh A.
Kodwaney, Geeta G.
Balaiah, Donta
description To assess sperm characteristics and fertility before and after varicocelectomy using computer-assisted semen analysis (CASA). Preoperative and postoperative sperm parameters of infertile men with varicocele were analyzed statistically and the outcome of pregnancy was determined. Department of Infertility Management and Assisted Reproduction, Jaslok Hospital and Research Centre, Bombay. Semen samples of 49 men with varicocele-related infertility were analyzed using CASA. Sperm parameters of 26 men who underwent varicocelectomy were evaluated 3, 6, and 9 months postoperatively. Conception, occurring either naturally or therapeutically, was recorded. Evaluation of improvement of sperm parameters after surgery. Sperm count, motility parameters, curvilinear velocity, straightline velocity, lateral head displacement, and normal morphology were significantly lower in men with varicocele. Postoperatively, there was significant improvement in count, motility, and normal morphology, with a decrease in proportion of acrosome-deficient heads and tapering forms. After varicocelectomy, 46.2% of the men had normal semen parameters, with the overall pregnancy rate being 50%. Computer-assisted semen analysis provides the potential for accurate quantitative evaluation of semen in men with varicocele. Varicocelectomy results in improvement in semen quality with pregnancy rates of 50%.
doi_str_mv 10.1016/S0015-0282(16)58516-1
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Obstetrics</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - standards</subject><subject>infertility</subject><subject>Infertility, Male - etiology</subject><subject>Infertility, Male - pathology</subject><subject>Infertility, Male - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Semen - cytology</subject><subject>Semen - physiology</subject><subject>Sperm Count</subject><subject>Sperm Motility - physiology</subject><subject>Spermatozoa - cytology</subject><subject>Spermatozoa - physiology</subject><subject>Spermatozoa - ultrastructure</subject><subject>Sterility. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - standards</topic><topic>infertility</topic><topic>Infertility, Male - etiology</topic><topic>Infertility, Male - pathology</topic><topic>Infertility, Male - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Semen - cytology</topic><topic>Semen - physiology</topic><topic>Sperm Count</topic><topic>Sperm Motility - physiology</topic><topic>Spermatozoa - cytology</topic><topic>Spermatozoa - physiology</topic><topic>Spermatozoa - ultrastructure</topic><topic>Sterility. 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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Acrosome - ultrastructure
Adult
Biological and medical sciences
Birth control
CASA
Female
Gynecology. Andrology. Obstetrics
Humans
Image Processing, Computer-Assisted - standards
infertility
Infertility, Male - etiology
Infertility, Male - pathology
Infertility, Male - physiopathology
Male
Medical sciences
Pregnancy
Pregnancy Rate
Semen - cytology
Semen - physiology
Sperm Count
Sperm Motility - physiology
Spermatozoa - cytology
Spermatozoa - physiology
Spermatozoa - ultrastructure
Sterility. Assisted procreation
Varicocele
Varicocele - complications
Varicocele - pathology
Varicocele - physiopathology
Varicocele - surgery
title Computer-assisted semen analysis parameters in men with varicocele: is surgery helpful?
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