Medicina, Vol. 49 No. 2, 2013.
Izvorni znanstveni članak
Impact of varicocele on quality of spermatogenesis in persons 12-18 years old
Bogdan Pajović
; Klinika za urologiju i nefrologiju Kliničkog centra Crne Gore, Podgorica, Crna Gora
Nemanja Radojević
; Centar za patologiju i sudsku medicinu Kliničkog centra Crne Gore, Podgorica, Crna Gora
Miroslav Radunović
; Katedra za anatomiju Medicinskog fakulteta Univerziteta Crne Gore, Podgorica, Crna Gora
Milovan Radosavljević
; Opća bolnica Kotor, Crna Gora
Aleksandar Stjepčević
; Dom zdravlja Kotor, Crna Gora
Sažetak
Aim: Varicocele is one of the most common causes of infertility, and its prevalence
increases significantly in puberty. It is, therefore, important to identify those adolescents who
have high risk for infertility, so that early surgical intervention has benefits.The aim of this
study was to determine the frequency and degree of varicocele in adolescents (12-18 years),
and the assessment of improvement in the morphology of testes and semen parameters after
surgical treatment. Methods: A total of 362 male adolescents aged 12-18 years were examined,
23 of them were subjected to surgical removal of varicocele (lig. vene spermaticae sec.
Palomo). The examination included: andrological history, general clinical examination and
uroandrological review and determination of basic semen parameters (total sperm count, percentage
of motile and abnormal sperm). Results: Varicocele was diagnosed in 47 (12.98%) adolescents
aged 12-18 years. There were no significant differences in the prevalence of varicocele
gr.I and gr.II among different age groups of adolescents, while gr.III varicocele and both
testicles reduction in various degree were more frequent in the group of older adolescents
(16-18 years). Surgical treatment in 23 patients resulted in an increase in testicular volume after
3-9 months, and in an increase in the total number and percentage of motile spermatozoa.
Conclusions: Due to the significant influence of varicocele on spermatogenesis in adolescents
it is necesery to do more precise examinations as a basis for deciding about surgery intervention.
Shrinking of the testicles on the side where varicocela is present is an indication for surgical
treatment of varicocele in this population.
Ključne riječi
adolescents; spermatogenesis; varicocele
Hrčak ID:
103487
URI
Datum izdavanja:
5.6.2013.
Posjeta: 2.317 *