Which clinical features are predictors for successful varicocelectomy to treat varicocele?

Updated: Jan 02, 2019
  • Author: Wesley M White, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

In a prospective study in 123 patients by Shabana et al, the following three preoperative findings were major predictors for a successful outcome of varicocelectomy [12] :

  • Grade II or III varicocele
  • Sperm density >8 million/mL
  • Sperm progressive motility >18%

Condorelli et al found that in patients with varicocele accompanied by dilation of the periprostatic venous plexus (DPVP), sperm progressive motility remained low after varicocele repair, whereas it improved significantly in patients without DPVP.  In addition, patients with DPVP were significantly more likely to have seminal fluid hyperviscosity, and their viscosity quantitative measurement remained significantly higher after varicocele repair, compared with patients without DPVP. [12]


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