OVERCOMING MALE FACTOR INFERTILITY AMONG MEN WITH VARICOCELE

Varicocele is a disease that often occurs in infertile men. The prolonged existence of venous reflux in the pampiniform plexus of the scrotum contributes to the progress of the deterioration of the ejaculate, up to the total absence of germ cells in it. Aim: To assess the effect of varicocele on male infertility. Methods: All men (n=72) with varicocele and azoospermia included in the study were divided into two groups. In the first group (n=31), surgical treatment of varicocele was not performed and testicular biopsy was performed immediately. The men of the second group first underwent the microscopic subinguinal varicocelectomy, and after 6 months, according to indications, microTESE was performed. As a result, in the first group of patients, spermatozoa extraction was successful in 1/3 of men, and in the second group - in 2/3 (p<0.01). Conclusion: In patients with azoospermia, surgical treatment of varicocele helps to restore spermatogenesis in 16.6%. Also, the operation according to the microscopic subinguinal varicocelectomy improves the effectiveness of testicular biopsy by 26.3%.