Varicocele and its effect on fertility

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Abstract

Varicocele is recognized as one of the most common urological diseases, but its true prevalence is a matter of debate. In the present study, during a screening examination of 442 young men (mean age 21.6 years), grade I varicocele was detected in 7.2%, grade II – in 42.1%, and grade III – in 15.2% of men, varicocele was absent only in 35.5% of men. In 41% of cases, varicocele was diagnosed in isolation on the left side, in 36.5% of cases, bilateral varicocele was detected, and in 22.5%, varicose veins of the spermatic cord were detected on the right. Pathozoospermia was found in 47.3% of patients with grade II varicocele and 61.2% with grade III varicocele. The data obtained in the course of the study showed a significant effect of varicocele and its duration on sperm quality, in particular, on sperm morphology.

About the authors

Sergey A. Zamyatnin

Military Medical Academy named after S.M. Kirov, Saint Petersburg; Priozersk interdistrict hospital

Author for correspondence.
Email: elysium2000@mail.ru
SPIN-code: 7024-0062

Doctor of Medical Sciences, Urologist. Department of Obstetrics and Gynecology, Chief physician

Russian Federation, 6 Academician Lebedev str., Saint Petersburg, 194044; 35, st. Kalinina, Priozersk, Leningrad region, 188760

Irina S. Gonchar

Military Medical Academy named after S.M. Kirov

Email: bonechka@mail.ru
SPIN-code: 2768-7253

Candidate of Medical Science, Assistant of the Department of Obstetrics and Gynecology

Russian Federation, 6 Academician Lebedev str., Saint Petersburg, 194044

Andrey A. Schmidt

Military Medical Academy named after S.M. Kirov

Email: ShmidtAA@mail.ru
SPIN-code: 4272-5069

Dr. Sci. (Med.), Professor, Head of the Department and Clinic of Obstetrics and Gynecology, Chief Gynecologist of the Ministry of Defense of the RF

Russian Federation, 6 Academician Lebedev str., Saint Petersburg, 194044

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Structure of pathozoospermia in patients of the 1st group (n = 180)

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3. Fig. 2. The proportion of morphologically healthy sperm in patients of the 1st group with teratozoospermia

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