title: Is varicocele a prognostic factor for determining sperm retrieval rate before testicular sperm extraction?
abstract: 66 nonobstructive azoospermic mean with normal genetic analysis composed of 32 (48%) patients with and 34 (52%) patients without varicocele were evaluated for the rate of sperm extraction five months after the varicocelectomy. Sperm retrieval was successful in 22 of 32 patients (68%) who had been operated because of varicocele and in 13 of 34 patients (38.2%) who had no varicocele (OR = 3.55) (CI: 1.15-11.27) (p = 0.025). Overall, sperm extraction was successful in 35 of 66 patients (53%). Repair of varicocele in non-obstructive azoospermic patients may return spermatogenesis to normal in spermatogenic focuses. So, the present of varicocele and its treatment might be considered as a prognostic factor for sperm retrieval in these patients.
authors.affiliation: Department of Urology, Gazi University, School of Medicine, Ankara, Turkey. ltunc@gazi.edu.tr
authors.forename: L
authors.initials: L
authors.lastname: Tunç
authors.forename: S
authors.initials: S
authors.lastname: Gürocak
authors.forename: S
authors.initials: S
authors.lastname: Sözen
authors.forename: O
authors.initials: O
authors.lastname: Tan
authors.forename: T
authors.initials: T
authors.lastname: Alkibay
authors.forename: I
authors.initials: I
authors.lastname: Bozkirli
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D011379:Prognosis; D013737:Testis / Q000473:pathology*; D014646:Varicocele / Q000473:pathology*