Segenreich E, Israilov S R, Shmueli J, Niv E, Servadio C
Andrological Unit, Institute or Urology, Rabin Medical Center, Petah Tiqva, Israel.
Eur Urol. 1997;32(3):310-4.
To compare, before and after repair of varicocele, the semen parameters (SP) in relation to the persistence of retrograde vein flow.
We examined the correlation between semen characteristics and retrograde flow (RF) into the pampiniform plexus in 158 patients with varicocele, before and after low inguinal spermatic vein ligation.
The results of the investigation before surgery showed that all patients had RF and also a decrease in quantitative and qualitative SP. After surgery an improvement was observed in SP and there was a decrease in RF as a function of time elapsing from surgery. One year after surgery, an improvement in SP in 136 (86.1%) patients was observed. In 14 (8.8%) no change was noted and in 8 (5.1%) there was a deterioration in SP. Comparison between increased SP and persistence of RF 1 year after surgery revealed that of the 136 patients who showed improvement in SP, 124 (91.1%) did not have RF. Of the 14 patients with no improvement in SP, 12 (85.7%) were free of RF and 9 patients with deteriorated SP and bilateral RF. Amongst 132 infertile men, the wives of 55 (41.6%) became pregnant. None of these 55 men demonstrate RF.
These results revealed a significant correlation between the improvement of SP, pregnancy in patients' wives and disappearance of RF. These results may be considered as a parameter of successful varicocelectomy.
比较精索静脉曲张修复前后，精液参数（SP）与逆行静脉血流持续存在之间的关系。
我们检查了158例精索静脉曲张患者在低位腹股沟精索静脉结扎前后精液特征与蔓状静脉丛逆行血流（RF）之间的相关性。
手术前的调查结果显示，所有患者均有RF，且精液参数在数量和质量上均有所下降。手术后，精液参数有所改善，并且随着手术时间的推移，RF有所减少。手术后一年，观察到136例（86.1%）患者的精液参数有所改善。14例（8.8%）无变化，8例（5.1%）精液参数恶化。比较手术后一年精液参数增加与RF持续存在的情况，发现136例精液参数改善的患者中，124例（91.1%）无RF。精液参数无改善的14例患者中，12例（85.7%）无RF，9例精液参数恶化且有双侧RF。在132例不育男性中，55例（41.6%）的妻子怀孕。这55例男性均无RF。
这些结果显示精液参数的改善、患者妻子怀孕与RF消失之间存在显著相关性。这些结果可被视为精索静脉曲张切除术成功的一个参数。
