The Role of Anogenital Distance Measurement in the Prediction of The Efficacy of Varicocelectomy in Primary Male Infertility | ||
| The Medical Journal of Cairo University | ||
| Article 156, Volume 87, December, December 2019, Pages 5315-5321 PDF (546.14 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2019.89801 | ||
| Authors | ||
| ABD ELRAHMAN W. BEDAIR, M.Sc.; AHMED F. GHAITH, M.D.; KHALID A. SALEM, M.D.; AYMAN A. HASSAN, M.D. | ||
| The Department of Urology, Faculty of Medicine, Tanta University, Egypt | ||
| Abstract | ||
| Abstract Background: Anogenital distance is a marker of genital development and adult testicular function. It is currently difficult to assess which patients are most likely to benefit from varicocelectomy. The present study showed that men with a longer AGD had a higher likelihood of improvement after varicocelectomy. Aim of Study: Is to evaluate the role of Anogenital Distance (AGD) measurement in the prediction of the efficacy of varicocelectomy on the improvement of semen parameters in primary male infertility. Material and Methods: •A prospective study included sixty male patients presented with primary infertility and clinical evident primary varic-ocele with altered semen parameters. •All patients underwent measuring the distance from the posterior aspect of the scrotum to the anal verge in millimeters using a digital caliper. •All patients underwent varicocelectomy (subinguinal ap-proach) by the same experienced surgeon using intraoperative Doppler and magnification loupe. •All patients were followed-up with semen analysis after 6 months of varicocele repair. Results: •Overall, 76.7% of our patients (46 patients) revealed improvement in their semen parameters after 6 months of varicocelectomy, men with longer AGD had better improve-ment in their semen parameters after surgery than men with shorter AGD, 30 patients (88.2%) with AGD >!30mm vs. 16 patients (61.5%) with AGD <30mm. •In patients with AGD >30mm. The sperm concentration increased from 13.5 to 18.8 million sperm per ml (p-value <0.001), the progressive motility (A + B) increased from 27.9% to 39.5% (p-value <0.001), the mean abnormal forms decreased from 57.2% to 36.2% (p-value <0.001). While in the other group with AGD <30mm there was no statistical differences in different semen parameters post-operatively. Conclusions: AGD may provide a novel metric to assess intrinsic testicular function and predict efficacy of varicocele repair. | ||
| Keywords | ||
| Genitalia; Anogenital distance; Varicocele | ||
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