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Varicocele repair in improving spermatozoa,follicle-stimulating hormone,and luteinizing hormone parameters in infertile males with azoospermia:a systematic review and meta-analysis

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Asian Journal of Andrology 2024年第6期26卷 628-634页

作者： Ryan Ramon Syah Mirsya Warli ginanda putra siregar Fauriski Febrian Prapiska Dhirajaya Dharma Kadar Mohd Rhiza Z Tala Department of Urology Faculty of MedicineUniversitas Indonesia–Haji Adam Malik General HospitalMedan 20136Indonesia Division of Urology Department of SurgeryFaculty of MedicineUniversitas Sumatera Utara–Haji Adam Malik General HospitalMedan 20136Indonesia Department of Urology Universitas Sumatera Utara Hospital–Universitas Sumatera UtaraMedan 20154Indonesia Department of Obstetric and Gynaecology Faculty of MedicineUniversitas Sumatera UtaraHaji Adam Malik General HospitalMedan 20136Indonesia

Patients with azoospermia show a prevalence of varicocele of 10.9%and a 14.8%contribution to male *** with azoospermia are thought to produce high-quality semen following varicocele *** varicocelectomy prior to sperm retrieval in a reproductive program is still *** study reviewed the impact of varicocele repair on male infertility using several factors.A literature search was conducted using Scopus,PubMed,Embase,the Wiley Online Library,and Cochrane *** concentration,sperm progression,overall sperm motility,sperm morphology,and follicle-stimulating hormone(FSH)and luteinizing hormone(LH)levels were also *** were compared between those who received treatment for varicocele and those who did *** data from the pooled analysis were presented as standardized mean difference(SMD)along with a 95%confidence interval(CI).Heterogeneity was evaluated using ***,we conducted analyses for publication bias,sensitivity,and subgroup analysis as *** studies were included after screening relevant *** analysis revealed a significant improvement in sperm concentration(SMD:1.81,95%CI:0.84–2.77,P<0.001),progressive sperm motility(SMD:4.28,95%CI:2.34–6.22,P<0.001),and sperm morphology(SMD:3.59,95%CI:2.27–4.92,P<0.001).Total sperm motility showed no significant difference following varicocele repair(SMD:0.81,95%CI:−0.61–2.22,P=0.26).No significant differences were seen in serum FSH(SMD:0.01,95%CI:−0.16–0.19,P=0.87)and LH(SMD:0.19,95%CI:−0.01–0.40,P=0.07)levels as *** study supports varicocele repair in infertile men with clinical varicocele,as reflected by the improvement in sperm parameters after varicocelectomy compared with no *** were no significant improvements in serum FSH and LH levels.

关键词： male infertility spermatozoa quality varicocele

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