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Semen analysis in young men with varicocele: preliminary study
1Polish Mother's Memorial Hospital, Lodz, Poland.
The Journal of Urology
|August 1, 1996
Summary
Varicocele negatively impacts sperm motility and vitality in adolescent boys aged 17-19. Ultrasound can predict testicular function in these cases.
Area of Science:
- Reproductive Medicine
- Andrology
- Pediatric Urology
Background:
- Varicocele is a common cause of male infertility.
- Its impact on spermatogenesis in adolescents requires further investigation.
Purpose of the Study:
- To assess the effect of varicocele on semen analysis parameters in adolescent boys (17-19 years old).
- To determine if early detection of impaired spermatogenesis is possible in this age group.
Main Methods:
- Compared semen analysis and ultrasound findings between healthy controls (36 boys) and boys with varicocele (38 boys).
- Utilized Doppler ultrasound to assess venous reflux and measure testicular/pampiniform vein diameters.
Main Results:
- Boys with varicocele showed significantly lower sperm motility, vitality, and normal sperm forms compared to controls.
- No significant differences were observed in sperm concentration, volume, or pH.
- A negative correlation was found between sperm motility and ultrasound parameters (venous reflux, vein diameter).
Conclusions:
- Varicocele adversely affects spermatogenesis in adolescent males as young as 17-19 years.
- Ultrasound findings correlate with semen analysis, enabling prediction of testicular function.