ASSOCIATION OF SONOGRAPHIC GRADES OF VARICOCELE WITH SEMEN ANALYSIS IN INFERTILE MEN IN KHYBER PAKHTUNKHWA
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Keywords
Infertility, Semen analysis, scrotal colour Doppler ultrasound, primary infertility, grades of varicocele, secondary infertility.
Abstract
Objectives: To find the sonographic grades of varicocele in infertile men. To compare sonographic grades of varicocele with semen analysis.
Methodology: This cross-sectional analytical study was conducted at Department of Radiology Institute of Kidney Diseases Peshawar, Pakistan. A total of 195 infertile patient with a history of primary and secondary infertility were observed from 15sep. 2022 to April 2023.
Results: Total 195 infertile male patients were included by consecutive sampling. The minimum age of patient was 18Y and maximum age was 45Y in this study. The mean age was 30 years. Total mean and standard deviation of semen volume in grade I, Grade II & Grade III varicocele were 2.03±0.87cc. Rapid progression was 18.6±16.92 per/ml. Non-motile (dead) was 48.13±23.45per/ml. In slow progression was 25.03±15.81per/ml. In morphology normal was 11.06±17.91 per / field. In morphology abnormal was 80.73±29.92per/field. Sperm count was 44.97±25.90 million/ml. Slow progression, normal morphology, abnormal morphology and sperm count had large effect i.e. n2=0.14.
Conclusion: Abnormal sperm morphology was significantly affected by the grades of varicocele. Similarly the sperm count was also affected but the rest of all the parameters in semen analysis were not significantly affected by different grades of varicocele.
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Hanif ullah Rabbani
University Institute of Radiological Sciences & Medical Imaging Technology, University of Lahore – Pak
Sahar Fahim
Radiology department, Hayatabad Medical Complex, Peshawar – Pak
Mir Abid Jan
Andrology department. (IKD), Hayatabad Medical Complex, Peshawar – Pak
Raham Bacha
University Institute of Radiological Sciences & Medical Imaging Technology, University of Lahore – Pak
Zahid Saddique
Social Security Teaching Hospital Multan Road, Lahore – Pak