Loading...
Please wait, while we are loading the content...
Varicocele Repair Improves Testicular Histology in Men with Nonobstructive Azoospermia.
| Content Provider | Europe PMC |
|---|---|
| Author | Ustuner, Murat Yilmaz, Hasan Yavuz, Ufuk Ciftci, Seyfettin Saribacak, Ali Aynur, Bahri Serkan Yasar, Hikmet Culha, Mustafa Melih |
| Copyright Year | 2015 |
| Abstract | Objective. To determine the histopathological differences after varicocele repair in testicular tissue in males with nonobstructive azoospermia. Methods. Between 2009 and 2014, 45 men with complete azoospermia and palpable varicocele, presenting with primary infertility of at least 1 year, undergoing varicocele repair at our institution were selected for the study. A standard systematic testicular 6-core Tru-Cut biopsy was performed during varicocele repair. Other biopsies were obtained from each testicle of all patients at the time of microscopic sperm extraction procedure. Results. Nineteen patients were selected for the study. Testicular biopsy specimens were classified as Sertoli cell only on preoperative histopathological analysis in 14 patients. After varicocele repair, focal spermatogenesis (n = 3) and late maturation arrest (n = 2) were found in these patients. Average Johnsen score was significantly increased after varicocelectomy (P = 0.003). Motile sperm was found in one patient on postoperative semen analyses and in 10 more patients in the microscopic sperm extraction procedure. Preoperative high serum follicle stimulating hormone level and venous reflux were significantly and negatively correlated with the increase in average Johnsen score (P < 0.05). Conclusions. Our findings suggest significant improvement in testicular histology after varicocele repair. |
| ISSN | 23146133 |
| Journal | Biomed Research International |
| Volume Number | 2015 |
| PubMed Central reference number | PMC4639637 |
| PubMed reference number | 26601110 |
| e-ISSN | 23146141 |
| DOI | 10.1155/2015/709452 |
| Language | English |
| Publisher | Hindawi |
| Publisher Date | 2015-10-27 |
| Access Restriction | Open |
| Rights License | This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2015 Murat Ustuner et al. |
| Content Type | Text |
| Resource Type | Article |
| Subject | Immunology and Microbiology Medicine Biochemistry, Genetics and Molecular Biology |