Title: Assessment of the Alterations of Semen Parameters after Varicocelectomy among Varicocele Patients in Tripoli, Libya
Authors: Wade Alwan M Yahya, Rabia A M Yahya, Karema El.M.Shkal, Azab Elsayed Azab
Volume: 9
Issue: 3
Pages: 46-52
Publication Date: 2025/03/28
Abstract:
Background: Varicocele is the most common cause of male infertility worldwide and varicocele repair is the world's most commonly performed male infertility procedure. The presence of a varicocele has been associated with impaired testicular function, often causing abnormalities in semen parameters, including sperm count, motility and morphology, testis size and histology, blood hormone levels and pregnancy rates. The sub inguinal approach of varicocelectomy is one of the common procedures for treating varicocele. Objectives: The current study aimed to assess the effect of varicocelectomy on the semen parameters after varicocelectomy among men with varicoceles in Tripoli, western Libya. Methodology: This study included 50 varicocele patients with ages ranging between 23-47 years old. All patients underwent sub inguinal varicocelectomy with testicular artery preservation and were followed up after 3 and 6 months. In all cases at least two semen analyses were obtained pre-varicocelectomy, 3, and 6 month post-varicocelectomy. All specimens were collected in a clean, wide-mouthed container. The specimens were collected in the laboratory by masturbation after a period of abstinence of 2-3 days. Results: The results showed that there was significant improvement of the patient's semen density postoperative after 3 and 6 months P-value <0.005. The improvement in sperm concentration, and motility was 58.3%, 54.3%, 52.1% in each of them respectively. correlation between. There is no statistically significant difference was detected between the preoperative semen motility in the normal and subnormal testicular volume P-value >0.05. There was significant improvement of the patient's semen motility postoperative after 3 and 6 months P-value <0.005. Conclusion: In conclusion and according to our results, the results showed that an improvement in semen parameters after 3 & 6 months of varicocelectomy. However, further well-designed studies may be needed to consolidate our result.