Varicocele Repair

Varicocele Repair are to relieve pain in symptomatic cases and to improve semen parameters, testicular function, and pregnancy rates in couples with male factor infertility associated with it. Studies have shown that repair it can improve all three of these parameters. It results in a significant improvement in semen analysis in 60 to 80 percent of men. Men with large varicoceles have poorer preoperative semen quality than men with small varicoceles, but repair of large varicocele results in greater improvement than repair of smaller or moderate size. In infertile men with low serum testosterone levels, microsurgical varicocelectomy has been shown to improve serum testosterone levels. In a controlled trial of varicoceles repair in infertile men that compared surgery versus no surgery, the surgery group revealed a pregnancy rate of 44 percent at one year compared to 10 percent in the no surgery group.
Men who underwent microsurgical varicocelectomy, the couples pregnancy rate was 43 % after one year and 69% after 2 years compared to 16% in couples with men who declined surgery and had hormone treatment or used insemination

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