THE ROLE OF SUBCLINIC VARICOCELE IN PATHOGENESIS OF IDIOPATHIC PATHOSPERMIA

The problem of diagnostics and treatment of subclinical varicocele is very important in modern andrology. There is still no consensus regarding the necessity of surgical treatment of this disease. The aim of the study was the optimization of the indications for treatment of subclinical varicocele in combination with idiopathic pathospermia.The study involved 308 patients with idiopathic pathospermia. Depending on the presence of subclinical varicocele patients were divided into two groups: 172 people without subclinical varicocele and 136 patients with subclinical varicocele, which in turn were divided into three groups: 45 patients underwent Marmara surgery, 56 patients underwent Marmara surgery with subsequent conservative therapy, 35 patients were assigned to conservative therapy only. Control group included patients without subclinical varicocele who received only conservative therapy.Surgical treatment (Marmara surgery), in combination with subsequent conservative therapy showed the greatest efficiency.The probability of pregnancy in the first year after the surgery was 42.8%. Only Marmara surgery resulted in the pregnancy in 31.2% of couples. The least effective was the conservative approach to treatment, the probability of pregnancy was 14.2% in the first year after beginning of treatment. In the control group in which patients did not reveal subclinical varicocele, the probability of pregnancy was 25.6 % after conservative treatment.Surgical treatment (surgery Marmara), in combination with subsequent conservative therapy showed the highest efficacy in the treatment of subclinical varicocele in combination with idiopathic pathospermia.

идиопатическая патоспермия, субклиническое варикоцеле, мужское бесплодие, тератозооспермия, астенозооспермия, idiopathic pathospermia, subclinical varicocele, male infertility, teratozoospermia, asthenozoospermia

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