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Urology/bilateral varicocela

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Question
hello ! i was recently diagnosed with severe oligoastenospermia, my sperm count was 0,4 million/ml , and percentage of progressivly motile spermatozoa 25%. i did a hormonal check which came back normal, my testicular ultrasound result was bilateral varicocela (2,5 mm dext and 3,3 mm sinister ) i am 37 ,  what chances do we have after varicocelectomi  with this numbers in my spermogram?
thank you

Answer
Brandon:

I would doubt that fixing the varicoceles would be sufficient to raise the count or motility sufficiently to produce normal sperm but it may be worth a try.  I would estimate the success of varicocele surgery in your case at about 20% but that's just a guess.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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