English Extended Abstract: (12565 Views)
Introduction: Varicocele is an abnormal distension and tortuosity of
pampiniform plexus of the spermatic cord. By appearing at puberty, it can
affect testicular growth and semen parameters and is considered as one of the
main causes of male infertility. Although in most cases the surgical treatment
of varicocele is an effective approach to return testicular function and improve
semen parameters, but fertility can be restored only in 30-40% of patients. The
fact indicates the importance of early diagnosis and treatment of varicocele
in population. Therefore, we conducted the present study to determine the
prevalence of varicocele and its clinical complications among learners in
NAJA training camps.
Materials & Methods: We performed a cross-sectional study of 1200 soldiers
in NAJA training camps including Shahid Adibi, Marzan-Abad, and Malek-
Ashtar, Arak, who were admitted to clinics due to non-urological complaints
during year 2008. Of total participants, data collected from 1054 soldiers were
usable and considerable. Demographic data, medical history and physical
examination results that were achieved by trained physicians were recorded in
questionnaires and relevant clinical forms.
Results: Of examined cohort, 254 subjects (24.1%) were diagnosed with
varicocele. It involved bilateral testes in 62 patients (5.9%), right side testis
in 64 patients (6.1%), and left side testis in 128 patients (12.1%). Of onehundred
twenty six patients (12%) with right sided varicocele, 83 patients
(65.9%), had grade I, 32 patients (25.4%) had grade II and 11 patients (8.7%)
had grade III varicocele. Moreover, among 190 patients diagnosed with left
sided varicocele, 138 patients (13.1%) had grade I, 32 patients (30%) had
grade II and 20 patients (1.9%) had grade III varicocele.
Conclusion: Regarding to the development of varicocele at puberty, the effect
of varicocele on testicular growth, its high prevalence and being asymptomatic
in population, that was also found in 24.1% of our study cohort, as well as the
possibility of preventing and reversibility of complications such as testicular
atrophy and hypertrophy through surgical therapy, screening, preventive
measures and the early treatment are highly emphasized
Article Type:
Original Research |
Received: 2013/12/21 | Accepted: 2014/03/12 | Published: 2014/03/12