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Scholars Journal of Medical Case Reports | Volume-10 | Issue-09
Results of Varicocelectomy in the Management of Male Infertility
SISSOKO Idrissa, KASSOGUE Amadou, DIALLO Moussa Salif, SANGARE Daouda, DIAKITE Adama Salifou, BOUARE Alassane, ONGOIBA Souleymane, KONE Ousmane, BAGAYOGO Tidiani Kariba, BERTHE Amadou, BERTHE Honoré J
Published: Sept. 15, 2022 | 114 84
DOI: 10.36347/sjmcr.2022.v10i09.010
Pages: 898-902
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Abstract
Male infertility remains a public health problem today. Varicocele looms large and is significantly associated with impaired sperm quality. Varicocele being defined as an abnormal and/or tortuous dilation of the scrotal veins of the pampiniform plexus. Method: This was a descriptive cross-sectional study with retrospective during 24 months. Our inclusion criteria were all patients operated on for varicocele on grounds of infertility or spermogram abnormality in the department, varicocele patients not operated on, or operated on for varicocele for other causes and incomplete records were not included in our study. Result: The 25-40 age group was the most represented with 60%, The desire for procreation was the reason for consultation most encountered with 73.33% and this desire had been evolving for 5 to 10 years in 53.33% of cases. High blood pressure was the most common medical history at 26.7%. Inguinal hernia was the most common surgical history, 36.66%. The normal spermogram rate increased from 13.33% before the intervention to 56.66% at 12 months postoperatively and the pregnancy rate increased to 33.33% at 12 months. Conclusion: Varicocele is a frequent pathology, Surgical cure for varicocele also significantly improves the fertility parameters of sperm in infertile patients within 3 to 6 months after the operation.