Vol.13, No 1, 2006 pp. 15 - 18
UC 616.6:616-073

CHANGES IN SPERM DENSITY CAUSED BY VARICOCELE
AND THEIR TREATMENT BY MEANS OF SCLEROEMBOLIZATION
OR HIGH SPERMATIC VEIN LIGATION
Jablan Stanković1, Petar Bošnjaković2
1Clinic of Urology, Clinical Centre, Niš, Serbia
2Institute of Radiology, Clinical Centre, Niš, Serbia

Summary. The incidence of varicocele in the male population is 15-20% and its contribution to infertility is 30-50%. In this study, the treatment of varicocele included high spermatic vein ligation. Fifty male patients were treated and checked up postoperatively. Their sperm density increased postoperatively from 27.35 million per ml to 50.30 million per ml, while after the scleroembolization it increased from 27.25 to 49.68 million per ml. A statistically significant increase was not noticed in both of the examined groups. Very little motile sperm was evident in both groups preoperatively. A statistically significant increase in sperm motility in the postoperative period, in comparison with the previous values, was recorded in both examined groups at every postoperative checkup over a period of 9 months, and 12 months after the scleroembolization. The high pregnancy rate (66% and 62%, respectively) indicates the necessity of treating male infertility caused by varicocele.
Key words: Varicocele, scleroembolization, ligature, v. testicularis

PROMENE U SPERMOGRAMU USLOVLJENE POSTOJANJEM VARIKOCELE
I TRETIRANE VISOKOM LIGACIJOM ILI SKLEROEMBOLIZACIJOM SPERMATIČNE VENE
Kratak sadržaj: Varikocela se sreće u opštoj populaciji muškaraca 15 do 20%, a kod 30 do 50% brakova, neplodnost je uslovljena postojanjem varikocele. Tretman varikocele sastojao se u hirurškoj visokoj ligaciji spermatične vene ili njenoj radiološkoj skleroembolizaciji. Ispitivanjem je obuhvaćeno po 50 muškaraca koji su kontrolisani 12 meseci nakon tretmana. Porast broja spermatozoida nakon operacije bio je sa 24,79 na 50,30 miliona po ml. dok je nakon skleroembolizacije broj porastao sa 27,25 na 49,68 miliona po ml. Statistiški značajan porast broja spermatozoida bio je kod obe tretirane grupe. Preoperativno, kod obe ispitivane grupe je dominirao smanjen broj pokretnih spermatozoida. Statistički značajno povećanje pokretljivosti spermatozoida nakon tretmana, u odnosu na vrednosti pre procedure zabelešeno je u obe posmatrane grupe pri svakoj kontroli do 9 meseci nakon operacije i 12 meseci iza skleroembolizacije. Visok procenat trudnoća (66% odnosno 62%) kod seksualnih partnerki ukazuje na neophodnost tretmana muškog infertiliteta uslovljenog varikocelom.
Ključne reči: Varikocela, skleroembolizacija, ligatura v. tesicularis