Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar


Infertility Due To Varicocele: Is Surgery The Answer? | 3521
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Infertility due to varicocele: Is surgery the answer?

2nd International Conference on Gastroenterology & Urology


AcceptedAbstracts: J Gastrointest Dig Syst

DOI: 10.4172/2161-069X.S1.019

Aim: To evaluate the effect of varicocele on semen and its changes following varicocelectomy. Methods: The study included 112 subjects of which 71 subjects were of varicocele (46 with and 25 without infertility) and 41 subjects were controls (20 fertile adults and 21 adults with infertility without varicocele). All subjects underwent detailed semen analysis (including volume, pH, sperm counts, motility, morphology and sperm function test), FNAC of bilateral testes and hormonal analysis (LH, FSH, Testosterone). Bilateral low ligation (under loupe magnification) of varicocele was done in Doppler confirmed cases and changes in above parameters were recorded post operatively. The subjects were followed up for a period of 6 months. The parameters were compared and analyzed among the four groups and also with post operative values in subjects of varicocele using Student?s t-test or Chi-square test as applicable. Some data showed wide variation, so Mann Whitney?s test was also used where applicable. Statistical significance was defined if the p value was <0.05. Results: On pre-operative evaluation subjects with varicocele were found to have significantly low sperm counts, low sperm motility, deranged sperm function and higher proportion of sperms with abnormal morphology in semen as compared to controls. The semen parameters improved markedly within 3-6 months after bilateral varicocele ligation with significant increase in sperm counts, motility and also functional capacity of sperm (morphology and sperm function test). There was significant improvement in the subjects? hormonal status and grade of testicular histology after surgery. The extent of impairment and post operative improvement of all parameters was related to the grade of varicocele. Conclusion: Varicocele has an adverse effect on male fertility by affecting semen parameters. Bilateral varicocele ligation causes a progressive and significant improvement of semen parameters and thus increases the chances of conception. Therefore, though the indication of surgery for symptomatic varicocele is well established, we also recommend surgery in all cases of varicocele associated with infertility or oligospermia.
Anurag Mishra is a young surgeon currently doing his residency in prestigious Maulana Azad Medical College. He has keen interest in clinical research and participates in various conferences both in India and abroad. He already has presented his work in 2 international (in Nanjing, China and Paris, France) and various national meetings as oral presentation. He also has deep interest in academic and sees himself as professor in a good medical college in coming times.