The probable effects of sub clinical varicocele on sperm parameters diagnosed by color doppler ultrasonography in male infertility problem

Object: We investigated the effects of subclinical varicocele on semen parameters detected by color doppler ultrasonography.
Material and method: 40 infertile patients with varicocele were evaluated. Patients with nonpalp able varicocele whose reflux were + and vein diameter smaller than 2.7 mm in doppler ultrasound were diagnosed as subclinical varicocele. Patients were separated in 3 groups: Right subclinical - left clinical varicocele (Group 1), bilateral subclinical varicocele (Group 2), only left subclinical varicocele (Group 3).
Results: No statistical significant difference was found in the patient age (p=0.486), male infertility duration (p= 0.481), sperm motility (p= 0.8305) and sperm morphology (WHO p= 0. 764) among groups..Mean testis volume of group 2 were statistically significant greater than group 1 (right testis p=0.023, left testis p=0.024) Total motil sperm counts were decreased in all groups and there was no statistical significant difference between groups (p=0.550)
Conclusion: There were no statistical significant difference on semen parameters between groups we evaluated. Therefore, our study has justified, that controversery and indefinity on the diagnosis and treatment of subclinical varicocele.

Erkek infertilite sorununda renkli doppler ultrasonografi ile taný konan subklinik varikoselin semen parametrelerinde olasý etkisi

Amaç: Renkli doppler ultrasonografi ile teþhis edilen subklinik varikoselin semen parametrelerine etkisini araþtýrdýk.
Gereç ve Yöntem: Varikosel tandý 40 infertil lýasta deðerlendirildi. Palpabl varikosel i olmayan fakat renkli doppler ultrasonografide ven çapý 2.7 mm‘nin altýnda ve reflü + olan hastalar subklinik varikosel tanýsý aldý. Hastalar sað subkliniksol klinik varikosel (GRUP I), bilatéral subklinik varikosel (GRUP 2). sadece solda subklinik varikosel (GRUP 3) olarak 3 gruba ayrýklý.
Bulgular: Gruplar arasýnda aþaðýda belirtilen durumlar açýsýndan istatiksel olarak anlamlý fark bulunmadý: Hasta yaþý (p= 0.486), infertilité siiresi (p=o.481 ), sperm mootilitesi (p-0.8305), sperm morfolojisi (WHO ¡1=0.764). Grup 2’nin ortalama test is volümü grup I’den anlamlý olarak fazla bulundu (sað testis p=0.023, sol teslis p= 0.024). Total motil sperm sayýsýnýn tüm gruplarda kötüye gittiði görüldü ve gruplar arasýnda anlamlý fark yoktu (p= 0.550).
Sonuç: Bizim çalýþmamýzda da incelenen gruplar arasýnda semen parametreleri açýsýndan istatiksel olarak anlamlý fark bulunamayýþý, subklinik varikoselin teþhis ve tedavisindeki tartýþmalarý ve bu konudaki belirsizliði haklý çýkarmaktadýr.