title: The effects of varicocelectomy on the patients with premature ejaculation.
abstract: BACKGROUND
  Premature ejaculation is one of the most problems in clinical practice. The association between varicocele and premature ejaculation was poorly understood. The effects of varicocelectomy on premature ejaculation in varicocele patient was studied.
  
  
  OBJECTIVE
  The aim of this study was to determine the impacts of varicocelectomy on patients with both premature ejaculation and varicoceles.
  
  
  METHODS
  This was a clinical trial study, conducted on 124 patients (20-35 years old), with varicoceles and premature ejaculation (PE), since March 2011 to April 2013. Inguinal and sub inguinal varicocelectomy were performed for them. All patients had both impairment of spermiogram and PE. These patients were followed up for about 2 years and evaluated for PE, in addition to parameters of spermiogram, before and after the surgery.
  
  
  RESULTS
  A total number of 124 patients with varicoceles and PE were enrolled into the study. Following the surgery 46 patients (37%) were fully treated (P < 0.001), 78 patients (63%) had improvements in PE symptoms changed to early ejaculation (P < 0.05) and 89 patients (72%) had improved parameters of spermiogram (P < 0.002).
  
  
  CONCLUSIONS
  In a significant number of patients who had clinical varicocele and not well responded to medical treatments for PE, varicocelectomy could effectively improve PE and spermiogram parameters.
authors.affiliation: Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Amir Abbas
authors.initials: AA
authors.lastname: Asadpour
authors.affiliation: Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Aslezare
authors.affiliation: Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Lina
authors.initials: L
authors.lastname: Nazari Adkani
authors.affiliation: Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Armin
authors.affiliation: Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Vojdani
keywords: Premature Ejaculation; Varicocele; Varicocelectomy