Preoperative semen analysis as a predictor of seminal improvement following varicocelectomy.

摘要: Abstract Objective: To determine the predictive role of preoperative semen analysis on both seminal improvement and pregnancy rates following varicocelectomy. Design: Retrospective data analysis. Setting: Two academic medical center infertility clinics. Patient(s): One hundred ten consecutive patients who underwent varicocelectomies. Seminal were available for 84 patients, 58 patients. Intervention(s): Stratification based total motile sperm count (TM). Varicocelectomy was performed all Main Outcome Measure(s): TMs, rates, conception techniques varicocelectomy each group. Result(s): Men with mild to moderate oligoasthenospermia (TM >5 million) had significantly better While stratification showed no difference in (when assisted reproductive included), men achieved a postoperative TM >20 million more likely achieve by less invasive (natural intrauterine insemination vs. vitro fertilization [IVF]). Conclusion(s): may be most cost-effective initial intervention males million. Patients