Khalid Javed Rabbani, Tanveer Mehmood, Furqan Rabbani.
Role of varicocelectomy in the management of male infertility.
Pak J Med Health Sci Jan ;4(4):413-5.

Surgical repair of varicocele (Varicocelectomy is a fairly common surgical procedure performed in urological units. Several studies have shown that varicocele surgery can improve sperm counts or motility but randomized and controlled trials do not consistently show improved pregnancy rates. The purpose of this retrospective study was to observe the effect of varicocelectomy on semen quality and pregnancy rates, in infertile males diagnosed to have varicocele. Results: 16760 infertile male patients attending out patients urology department during a period of 9 years (2000-2009) were examined. Out of these total number, 6040 (36%) suffered from sub fertility because of purely male factors. Varicocele was clinically palpable in 1746 (33.2%). Surgery was offered to all but only 1401 accepted, who were then operated upon for high legations of varicocele. Where as 345 (19.8%) patients declined and were treated conservatively. The couples were followed up for two years to assess effect of varicocele surgery on semen parameters and subsequent pregnancy.

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