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- W2335041887 abstract "You have accessJournal of UrologyPediatrics: Testis, Varicocele & Stones1 Apr 2016MP43-18 DOES VARICOCELE REPAIR IMPROVE TOTAL MOTILE SPERM COUNT (TMSC) IN ADOLESCENTS? A PILOT STUDY Mihir Shah, Julia Barthold, Li Xie, and Ahmad Bani-Hani Mihir ShahMihir Shah More articles by this author , Julia BartholdJulia Barthold More articles by this author , Li XieLi Xie More articles by this author , and Ahmad Bani-HaniAhmad Bani-Hani More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.227AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In the absence of symptoms, the treatment of varicocele is aimed towards fertility preservation. While the current indication for varicocele repair in adolescent males is ipsilateral testicular hypotrophy, both total testicular volume and volume differential (TVDiff) correlate poorly with semen quality. Recently, total motile sperm count (TMSC) was shown to have a better predictive value for spontaneous ongoing pregnancy and to be a better indicator of the severity of male factor infertility than the WHO sperm classification system. We sought to evaluate whether varicocele repair can improve TMSC in a group of adolescent males with subfertile semen analysis (SA) parameters and normal TVDiff. METHODS We performed a retrospective chart review of a prospective data registry of a single surgeon. Inclusion criteria included adolescent males with Tanner V stage and TVDiff of less than 20% who underwent microscopic subinguinal varicocelectomy for left sided varicocele and SA. Exclusion criteria included genital anomalies, TVDiff >20% and incomplete SA data. RESULTS Between 2009 and 2015, 46 patients underwent microscopic varicocele repair. Ten patients met the inclusion criteria. Mean age at time of surgery= 16.3 years (15-18 yrs). Mean TVDiff = 5.9% (0-16%). Mean duration of postoperative SA collection= 36 weeks (17-40 weeks). As noted in the table, the difference in median TMSC before and after surgery was highly statistically significant (p= 0.0039). CONCLUSIONS Varicocele repair significantly improves TMSC in adolescent, Tanner V stage males presenting with asymptomatic varicoceles. In view of this pilot data, a larger multi-institutional prospective study comparing various treatment modalities for varicoceles is warranted. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e585-e586 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Mihir Shah More articles by this author Julia Barthold More articles by this author Li Xie More articles by this author Ahmad Bani-Hani More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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- W2335041887 title "MP43-18 DOES VARICOCELE REPAIR IMPROVE TOTAL MOTILE SPERM COUNT (TMSC) IN ADOLESCENTS? A PILOT STUDY" @default.
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