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
