The effect untreated right subclinical varicocele on the outcomes of contralateral left clinical varicocelectomy in infertile patients

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dc.authorid0000-0001-8300-4119
dc.contributor.authorYilmaz, Sevgin
dc.contributor.authorTopcuoglu, Murat
dc.contributor.authorCakan, Murat
dc.contributor.authorAkkoc, Ali
dc.contributor.authorUcar, Murat
dc.date.accessioned2026-01-24T12:26:38Z
dc.date.available2026-01-24T12:26:38Z
dc.date.issued2023
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractPurpose: The management of infertile patients with unilateral subclinical varicocele (SCV) and contralateral clinical varicocele (CV) remains controversial. We aimed to evaluate the effect of untreating SCV on the outcome of contralateral clinical varicocelectomy in infertile patients with oligoasthenozoospermia (OA). Materials and methods: Infertile patients with the diagnosis of OA who underwent left varicocelectomy were retrospectively evaluated. While all patients in the study had left clinical varicocele (LCV), some patients had concomitant right SCV. Patients were divided into two groups according to the presence or absence of a right SCV accompanying LCV as group 1; (LCV n = 104) or group 2; (LCV with right SCV, n = 74). Patients were evaluated with spermiogram parameters, pregnancy rates and serum levels of follicle stimulating hormone, luteinizing hormone, total testosterone at the first year of the follow-up. Results: The mean sperm concentration increased significantly in both groups. However, group 1 showed significantly greater improvement than group 2. The ratio of progressive motile sperm in group 1 was increased significantly whereas no significant change was shown in group 2. Both the spontaneous pregnancy rate and the pregnancy rate with ART were statistically lower in the group of patients with right SCV. No statistically significant difference was detected in serum hormone levels in both groups after varicocelectomy operations. Conclusions: Untreated right SCV may have adverse impact on the outcomes of left clinical varicocelectomy. In this context, the right testis can be considered in terms of treatment in patients with right SCV accompanying left CV.
dc.identifier.doi10.4081/aiua.2023.12128
dc.identifier.issn1124-3562
dc.identifier.issn2282-4197
dc.identifier.issue4
dc.identifier.pmid38193220
dc.identifier.scopus2-s2.0-85181999985
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.4081/aiua.2023.12128
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4828
dc.identifier.volume95
dc.identifier.wosWOS:001137624100001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherPagepress Publ
dc.relation.ispartofArchivio Italiano Di Urologia E Andrologia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectInfertility
dc.subjectSubclinical Varicocele
dc.subjectVaricocelectomy
dc.titleThe effect untreated right subclinical varicocele on the outcomes of contralateral left clinical varicocelectomy in infertile patients
dc.typeArticle

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