Low body mass index might be a predisposing factor for varicocele recurrence: a prospective study
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley-Blackwell
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We investigated the possible relationship between body mass index (BMI) score and varicocele recurrence in an infertile patient population. A total of 255 primary infertile male patients (138 with varicocele and 117 for control) were included in this study. Height and weight measurements, clinical examination for varicocele, determination of serum hormone levels and spermiogram were performed in all cases. The BMI score was calculated, and patients with varicocele were operated with subinguinal technique and re-examined for recurrences. The varicocele group had significantly lower weight and the BMI score than the control group (P<0.001). Varicocele recurrences were found in 22 patients (16% of them) after the operations. The BMI score was significantly lower in the recurrent group than in the nonrecurrent and control groups (P<0.001). 73% of the recurrent, 50% of the nonrecurrent and 25% of the control group patients' BMI scores were under 25kgm(-2) (P<0.001). In logistic regression analysis, the BMI score was found as a determinant for varicocele recurrence (P=0.027; OR: 1.25). It is concluded that BMI score lower than 25kgm(-2) significantly increases the recurrence rate after varicocele operation, and it can be used as an objective indicator for microsurgical varicocelectomy.
Açıklama
Anahtar Kelimeler
Body mass index, varicocele, varicocele recurrence, varicocelectomy
Kaynak
Andrologia
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
47
Sayı
4
