Effect of Varicocelectomy on Semen Parameters and Fertility Outcomes: A Prospective Evaluation

1Dr Saira Rafique, DHQ Hospital Bagh AJK

2Sajawal Mir, AIMS Hospital

3Dr taliha Islam, Ajkmc

4Dr Waqar Ahmed, MO, Pakistan International Airlines

5Dr Qudsia Saeed, Ajk mc

6Aqsa Rahat, PIMS

 

Abstract

Background: Varicocele represents the most frequent surgically correctable cause of male infertility. Varicocelectomy is performed with the aim of improving semen parameters, thus enhancing spontaneous pregnancy rates.

Objective: It was conducted to assess the outcomes of varicocelectomy based on the improvement in semen quality and the resulting pregnancy rate concerning fertility.

Methods: A prospective observational study was conducted among infertile men presenting with clinically palpable varicocele, assessing the semen parameters and pregnancy outcome prospectively before and after the surgical intervention.

Results: The seminal parameters, particularly sperm concentration and motility, have significantly improved after varicocelectomy. The spontaneous pregnancy rate was also reported to have improved in the postoperative period. These are summarized in two tables showing preoperative and postoperative semen characteristics and pregnancy outcomes.

Conclusion: It has been proved that varicocelectomy significantly improves fertility parameters and results in a positive effect on spontaneous conception rates.

Keywords: Varicocele, varicocelectomy, male infertility, semen analysis, pregnancy rates, sperm motility, assisted reproductive outcomes.