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• W22728045 abstract "No AccessJournal of Urology1 May 1994Prevalence of Sperm Bound Antibodies in Infertile Men with Varicocele: The Effect of Varicocele Ligation on Antibody Levels and Semen Response Gregory Knudson, Lawrence Ross, David Stuhldreher, Daniel Houlihan, Eric Bruns, and Gail Prins Gregory KnudsonGregory Knudson More articles by this author , Lawrence RossLawrence Ross More articles by this author , David StuhldreherDavid Stuhldreher More articles by this author , Daniel HoulihanDaniel Houlihan More articles by this author , Eric BrunsEric Bruns More articles by this author , and Gail PrinsGail Prins More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35226-6AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail An increased level of antisperm antibodies has been demonstrated in infertile men with varicocele compared with normal fertile men, suggesting a possible cause and effect relationship. To evaluate the possible etiological role of antisperm antibodies in varicocele patients, we performed a prospective study of 32 infertile men undergoing varicocele ligation. Semen analyses and antisperm antibodies as measured by the immunobead test were performed preoperatively and postoperatively at 3 and 6 months. Of the infertile men with varicocele 28% had a positive immunobead test compared with 0% of normal fertile men. The average total motile sperm count was significantly different (p <0.05, 2-tailed t test) for 9 varicocele patients with sperm-bound antibody (3.2 × 106) compared with 23 without antibody (8.4 × 106). Postoperatively, 68% of all patients exhibited improved semen parameters, with no change in antibody status in either group. Among the antibody positive group 71% showed an increase in motile sperm per ml. of 2.8 × 106 to 17.2 × 106 (525% increase, p <0.05), while in the antibody negative group 67% showed an increase of 3.8 × 106 to 24.9 × 106 (553% increase, p <0.05). Our study suggests that there is an increased incidence of sperm-bound immunoglobulin in infertile varicocele patients and an apparent adverse effect on semen parameters in these patients. However, the presence of sperm-bound immunoglobulin did not affect the percentage response to surgical correction, nor can we postulate an immunological mechanism as a major etiological factor in varicocele induced infertility. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGilbert B, Witkin S and Goldstein M (2018) Re: Varicocele-Related Infertility is Not Associated with Increased Sperm-Bound Antibody by G. S. Oshinsky, M. V. Rodriguez and B. C. Mellinger J, Urol., 150: 871-873, 1993Journal of Urology, VOL. 152, NO. 5 Part 1, (1563-1563), Online publication date: 1-Nov-1994. Volume 151Issue 5May 1994Page: 1260-1262 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.KeywordssemenspermatozoainfertilityvaricoceleantibodiesMetricsAuthor Information Gregory Knudson More articles by this author Lawrence Ross More articles by this author David Stuhldreher More articles by this author Daniel Houlihan More articles by this author Eric Bruns More articles by this author Gail Prins More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W22728045 title "Prevalence of Sperm Bound Antibodies in Infertile Men with Varicocele: The Effect of Varicocele Ligation on Antibody Levels and Semen Response" @default.
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• W22728045 doi "https://doi.org/10.1016/s0022-5347(17)35226-6" @default.
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