DOI: 10.36347/sjams.2019.v07i03.056

Pages: 1149-1151

Objective: to study the effect of high ligation of left testicular vein in patients with grade III left varicocele. Methods: 50 patients were selected having the following criteria: Infertility more than one year with unprotected intercourse, abnormal seminal fluid analysis(SFA), normal other infertility investigations, normal evaluation of the partner for infertility, grade III left varicocele, surgery done through left high retroperitoneal ligation(HLV) of testicular vein. All patients have one seminal fluid analysis prior to operation and another analysis 3-6 months after operation. Results: the preoperative percentage of pregnancy was 2% (one case). The post-operative pregnancy rate was 34% (17 cases) after follow up of 1 year. SFA changes were as follow: pre-operative mean sperm count was16.4 million/ml, compared to 18.7 million/ml post operation. Mean progressive motility preoperative was13.8percentage, compared to 18.4% post operation. Mean percentage of normal shaped sperms was 12.1%, compared to 17.5% post operation. Conclusion: surgery by left high ligation varicocele has a significant effect on infertile men by improving SFA parameters.