Influence de la cure chirurgicale de la varicocele sur la qualite du sperme

The aim of this study was to assess the efficacy of surgical varicocèle repair in terms of sperm quality. We have performed a retrospective study including 62 patients. All of them underwent clinical evaluation. A sperm analysis has been done before and after surgical repair. Before sugery, the spermogram was normal in only 11.3%. Oligospermia was found in 62.1 % of cases while 6.5% of patients had azoospermia. Abnormalities like microcephalia were encountered in 36.8% of cases. All patients underwent surgical varicocele repair. They were followed up every three months up to 18 months. A significant improvement of sperm count was found in 18 cases, with a pregnancy rate of 6.45%. Alterations of sperm quality was most severe in older patients. We think that as far as natural history of varicocele is not well established, the duration of its evolution is well correlated with the severity of sperm alterations. So, need for precocious diagnosis in order to lessen the risk of infertility.