بررسي مقايسه اي بين بستن و حفظ شريان در واريكوسلكتومي يك طرفه و اثر آن در تجزيه مايع سمن قبل و بعد از عمل جراحي

Evaluation of the Quality of Sperm after Varicocelectomy with or without Gonadal Artery Ligation

Background and Objectives: Varicocele is the most common cause of secondary infertility. The management of varicocele is surgical repair that is commonly done by retroperitoneal approach. Arterial preservation in this approach does not compromise the positive results of surgery and also spends the long surgical duration. In this study the results of arterial ligation were investigated. Materials and Methods: During a 2 years period ( 1995-1997) , 40 infertile and subfertile patients underwent varicocelectomy and were divided into two groups prospectively: one with and the other without gonadal artery ligation. Two different semen analysis were performed before surgery and were repeated 3 , 6 and 9 months after surgery to evaluate the quality of sperm. Results: The total number of spermatozoid count increased in both the groups significantly. Also sperm motility and normal forms were improved in both the groups, however these differences were not significant. There was no difference between two groups in sperm quality. Conclusion: The arterial ligation has no significant effect on the sperm quality . On the other hand, it induces the long surgical and anesthesia period.