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Effect of venous reflux time on testosterone and semen parameters of infertile males after microscopic varicocelectomy
Author(s) -
Senturk Aykut Bugra,
Cakiroglu Basri,
Yaytokgil Muhammet,
Aydin Cemil,
Sungur Mustafa,
Akkoc Ali
Publication year - 2020
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.13583
Subject(s) - reflux , medicine , semen , varicocele , testosterone (patch) , semen analysis , urology , infertility , surgery , andrology , biology , disease , pregnancy , genetics
This study aimed to search whether there is a link between reflux flow and hormonal profile. Data of 250 patients were retrospectively investigated. Pre‐operative and 6th month semen analyses of these patients' results were compared with pre‐operative and post‐operative 6th month serum levels of testosterone. Based on the venous flow on pre‐operative Doppler ultrasonography, patients were divided into two groups. Patients with a venous flow ≤4 s were assigned to Group 1 and those with a venous flow >4 s to Group 2. Venous reflux time cut‐off was calculated as 4 s using ROC curve according to the increase in testosterone level. When venous reflux time was selected as approximately 4.0 s, ROC had 79.8% sensitivity and 72.8 specificity. The probability of a post‐operative increase in testosterone is high in patients with a venous reflux time longer than 4 s.