MP31-20 LIVE BIRTH RATE OUTCOMES IN MEN WITH NON-OBSTRUCTIVE AZOOSPERMIA WITH TREATED CLINICAL VARICOCELES

You have accessJournal of UrologyInfertility: Therapy (MP31)1 Sep 2021MP31-20 LIVE BIRTH RATE OUTCOMES IN MEN WITH NON-OBSTRUCTIVE AZOOSPERMIA TREATED CLINICAL VARICOCELES Celina Pook, Mohamed Al-Hussini, Mona Salman, Awatuf El-Shirif, Narayan Karunanithy, Maj Shabbir, and Tet Yap PookCelina Pook More articles by this author , Al-HussiniMohamed Al-Hussini SalmanMona Salman El-ShirifAwatuf El-Shirif KarunanithyNarayan Karunanithy ShabbirMaj Shabbir YapTet View All Author Informationhttps://doi.org/10.1097/JU.0000000000002035.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Varicoceles are found in up 13.3% patients diagnosed with non-obstructive azoospermia (NOA), which itself contributes around 10% male infertility cases. Patients undergoing varicocele repair (embolization or microsurgical repair) may experience return sperm within 3 months post-op, representing potential for spontaneous pregnancies. no opt microdissection testicular extraction (micro-TESE) extract IVF/ICSI. We present the outcomes sperm, surgical retrieval rates (SRR) live birth (LBR) examine predictors success determine improving fertility NOA. METHODS: A cohort 47 grade 2+ varicoceles (mean age: 36 years) treated were examined at a tertiary hospital. underwent embolization, any failed attempts being subsequent repair. Baseline characteristics (age, size varicocele, testosterone level, volume) collected, post-operative semen analysis was performed assess ejaculate. micro-TESE. Outcomes collected ejaculate, micro-TESE harvest data. Multiple regression used find stated outcomes. RESULTS: 37/47 had successful embolization procedure, required repeat 7 23% ejaculate LBR 55% (40% spontaneous, 60% IVF/ICSI). 20 rate 50% 30%. Successful significantly lower levels FSH LH. 10 sertoli-cell only on histological analysis. CONCLUSIONS: Varicocele can result azoospermic enable births without further intervention. Micro-TESE provides opportunity improve fertility, histology predictor poorer Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e563-e563 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...