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Impact of varicocelectomy on premature ejaculation in varicocele patients
Author(s) -
Ahmed A.F.,
AbdelAziz A.S.,
Maarouf A.M.,
Ali M.,
Emara A.A.,
Gomaa A.
Publication year - 2015
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.12256
Subject(s) - varicocele , premature ejaculation , medicine , urology , erectile function , testosterone (patch) , ejaculation , gynecology , erectile dysfunction , infertility , biology , psychology , pregnancy , genetics , psychoanalysis
Summary In a prospective manner, we studied the effect of varicocelectomy on premature ejaculation and testicular hormonal function in patients with varicocele. Microsurgical subinguinal varicocelectomy was carried out in 73 patients with clinical varicocele associated with premature ejaculation (group 1) and compared with 56 patients without operative intervention (group 2; control). The primary efficacy variable was the mean change in the P remature E jaculation D iagnostic T ool. The changes in I nternational I ndex of E rectile F unction questionnaire, total serum testosterone and testicular size were also assessed. In group 1, the P remature E jaculation D iagnostic T ool decreased significantly after varicocelectomy, from 15.56 to 11.37 ( P < 0.001), indicating improvement of premature ejaculation. Thirty patients (41.1%) showed improvement of premature ejaculation compared to 5.3% in the control group ( P < 0.001). In group I , but not in group II , testosterone levels and I nternational I ndex of E rectile F unction values increased significantly when compared with pre‐operative values ( P < 0.001 and 0.040 respectively). Testicular size increased after varicocelectomy, but this increase was nonsignificant till the end of study ( P = 0.054). We concluded that varicocelectomy is clearly related to improvement of premature ejaculation and testicular hormonal function in varicocele patients.