Effets à court et à long termes de la cure de varicocèle sur les caractéristiques spermatiques

The authors studied the sperm features of 122 patients, before and 3 months, 6 months, 9 months and 12 months after varicocele repair, in order to define the sperm profiles of these patients and to study effects of this treatment on these profiles. Patients with varicocele generally present severe asthenozoospermia. Of the 122 patients studied: ?18% were extreme oligozoospermic, ?26% were severe oligozoospermic, ?18% were moderate oligozoospermic, ?38% were normozoospermic. Varicocele repair does not influence the volume of semen, the vitality of spermatozoa, their survival, their rate of abnormal shapes, or male genital tract markers, but significantly improves sperm counts and mobility, in men with extreme or severe oligozoospermia. This type of treatment is generally indicated in patients with extreme or severe oligoasthenozoospermia in order to obtain a natural pregnancy, or at least to increase the success of medically assisted procreation techniques.