Navigation Links
Simple Procedure Improves Male Fertility
Date:7/23/2008

Correcting varicose veins in scrotum boosts sperm count, motility, study finds

THURSDAY, July 24 (HealthDay News) -- A simple, minimally invasive procedure can treat a common cause of male infertility and improve a couple's chances of having a baby, a new study finds.

The condition, called varicocele, is a network of tangled blood vessels in the scrotum which prevents the normal circulation of blood through the veins in the testicles. A minimally invasive radiological procedure called embolization can, in most cases, correct the problem.

"Using the embolization of varicoceles, we were able to improve factors related to infertility, especially sperm count and sperm motility," said lead researcher Dr. Sebastian Flacke, an associate professor of radiology at Tufts University School of Medicine in Boston.

In embolization, a small catheter is inserted into the groin and, using X-ray guidance, is placed in the varicocele. Once the catheter is placed, a tiny platinum coil and a few milliliters of an agent to ensure the closure of the gonadic vein are also inserted.

The minimally invasive procedure has a short recovery time; most patients go home the next day.

Varicoceles are very common, Flacke noted. In fact, about 20 percent of all men have them. Not all of these cause infertility or need to be treated, he said. The problem is usually treated if it causes pain, shrinkage or fertility problems.

"If you're dealing with infertility and have varicoceles -- this should be treated," Flacke said. By improving sperm count, the treatment could also be valuable in situations where the woman is having problems conceiving, he added.

"Most of the time, infertility is on both the male and female side," Flacke said. "Most of the time females get treated first if there is an issue, and men are neglected. I think you could boost the performance of the sperm if a varicocele is present and treated."

Flacke noted that the success rate of the treatment is very high. More than 95 percent of the time the procedure corrects the problem.

The report is published in the August issue of Radiology.

For the study, Flacke's team collected data on 223 infertile men with at least one varicose vein. All the men had healthy partners with whom they wanted to have a baby.

Flacke's group used embolization to successfully relieve 226 of the 228 varicose veins among the men. Three months after the procedure, the researchers analyzed the sperm of 173 patients. The analysis showed, on average, that sperm motility and sperm count had significantly improved.

After six months, 45 couples (26 percent) reported a pregnancy. "That's a very large number for a simple procedure," Flacke said.

Infertility expert Dr. Hossein Sadeghi-Nejad, an associate professor of urology at UMDNJ New Jersey Medical School and Hackensack University Medical Center, thinks this procedure can be useful even if it is not the preferred one.

Sadeghi-Nejad noted that, as a rule, infertility treatment begins with a woman. "The fact is that a male factor is responsible for infertility in about half of the cases," he said. "Varicoceles are one example of the male factor that can affect fertility."

If you do treat varicoceles properly, you do get improvement in sperm counts and pregnancy rates, Sadeghi-Nejad said.

However, there are drawbacks to embolization, Sadeghi-Nejad added. These include a steep learning curve to get used to doing the procedure and the danger of prolonged or misdirected radiation, especially if there are varicoceles on both sides of the scrotum.

"I recommend, in experienced hands, a microsurgical varicocelectomy, which is a very quick operation with minimal time off work," Sadeghi-Nejad said. "The patient is back to work in two or three days."

More information

For more on infertility, visit the U.S. National Library of Medicine.



SOURCES: Sebastian Flacke, M.D., Ph.D., associate professor, radiology, Tufts University School of Medicine, Boston; Hossein Sadeghi-Nejad, M.D., associate professor, urology, UMDNJ New Jersey Medical School, Hackensack University Medical Center; August 2008, Radiology


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Simple ultrasound exam may predict osteoporosis risk
2. Symptom Screening Plus a Simple Blood Test Equals a 20 Percent Jump in Early Detection of Ovarian Cancer
3. Symptom screening plus a simple blood test improves early detection of ovarian cancer
4. A Simple Weight Loss Diet: Scientific, Safe and Basically Free
5. Vigilan Offers PaySimple to Simplify Resident Billing and Collection
6. Simple Case Management Cuts Pulmonary Disease Admissions
7. Simple Steps to a Healthier, Allergy-Free Home
8. New OPAL Therapy presents simple, cost-effective method of treating HIV infection
9. Simple Steps Lead to Better Blood Pressure Control
10. The J.M. Smucker Company Travels the U.S. to Launch the Simple Steps To A Better You Campaign
11. Professor Woodpecker Makes Childrens Nutrition Fun and Simple
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Simple Procedure Improves Male Fertility
(Date:10/13/2017)... ... 13, 2017 , ... As health professionals work to improve their approach to ... is doing more than filling out a survey; in many cases health professionals and ... in health care and research on the importance of active engagement with patients and ...
(Date:10/13/2017)... IL (PRWEB) , ... October 13, 2017 , ... ... which established the certification process to promote standards of excellence for the field ... Symposium, scheduled for March 22 – 25, 2018 in Orlando, Florida at the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Lori R. Somekh, ... member of ElderCounsel, a national organization of elder law and special needs planning attorneys. ... and rules. It also provides a forum to network with elder law attorneys nationwide,” ...
(Date:10/13/2017)... , ... October 13, 2017 , ... The Visiting Nurse ... Market. Featuring a collection of specialty vendors and unique items from across the nation, ... quality-focused health and wellness services offered by the VNA. The boutique will be ...
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... , Sept. 28, 2017 Cohen Veterans ... advance the use of wearable and home sensors for ... disorders. Early Signal Foundation, a nonprofit organization focused on ... will provide an affordable analytical system to record and ... ...
(Date:9/23/2017)... 22, 2017 Janssen Biotech, Inc. (Janssen) announced ... from the U.S. Food and Drug Administration (FDA) for ... for the treatment of moderately to severely active rheumatoid ... data are needed to further evaluate the safety of ... RA. "We ...
(Date:9/18/2017)... , Pa. and KALAMAZOO, Mich. , Sept. ... Penn. , and OptiMed Specialty Pharmacy of ... partnership to offer a strategic hub service that expedites ... highly sought-after personal spirometer, Spiro PD 2.0, and wellness ... A spirometer is a medical device used to measure ...
Breaking Medicine Technology: