Volume 5, Issue 2 (Fall & Winter 2022)                   J Res Urol 2022, 5(2): 42-47 | Back to browse issues page

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Marjouie A, Nikoobakht M R, Dialameh H, Inanlou S H. Evaluation of the Erectile Dysfunction and Comparison of Serum Testosterone Level Before and After Varicocelectomy in Patients with Varicocele Referred to Sina Hospital. J Res Urol 2022; 5 (2) :42-47
URL: http://urology.umsha.ac.ir/article-1-92-en.html
1- Urology Center, Tehran University of Medical Science, Tehran, Iran
2- Urology Center, Tehran University of Medical Science, Tehran, Iran , hossein.dialameh@gmail.com
Abstract:   (8535 Views)
Background and Objective: Varicocele is the most prevalent clinical condition in infertile men. The exact mechanism of varicocele that causes testicular dysfunction is not fully known. This study, therefore, aimed to determine the prevalence of impotence and testosterone levels before and after varicocelectomy in patients referred to Sina Hospital (Tehran, Iran) from 2018 to 2019.
Materials and Methods: This study was conducted on 115 patients, selected through available sampling, who had varicocele and were candidates for varicocelectomy. A checklist of demographic characteristics was completed before and three months after the surgery. Clinical examination and ultrasound were performed before and three months after the surgery to determine the grade of varicocele and blood test to examine the serum level of testosterone. Afterward, the data were entered into the SPSS software (version 26) for statistical analyses.
Results: The mean testosterone levels before and after the surgery had a significant difference of about 124 ng/dL (23.6±7.8% on average). Erectile dysfunction significantly improved three months after surgery. The number of severe and moderate erectile dysfunctions was significantly reduced, and the number of mild or no erectile dysfunction significantly increased.
Conclusion: In general, it can be concluded that varicocelectomy surgery in people with varicocele can increase serum testosterone levels. It can also be said that varicocelectomy surgery can significantly improve sexual satisfaction and erectile dysfunction in people with varicocele, compared to preoperative conditions.

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Type of Study: Research | Subject: Andrology
Received: 2021/10/30 | Accepted: 2022/04/7 | Published: 2023/05/22

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