a preliminary evaluation of serum level of testosterone, lh, and Fsh in patients with varicocele after varicocelectomy as a kidneyrelated disease

Varicocele is a common problem with a high prevalence in population with
primary and secondary infertilities. The adverse effects of varicocele on spermatogenesis and
fertility are known, but the association between clinical varicocele and testosterone is not clear.
Hence, we decided to evaluate the serum levels of testosterone, luteinizing hormone (LH) and
follicle-stimulating hormone (FSH) in patients with varicocele after varicocelectomy.
Methods: In this study, 100 patients with varicocele were divided into two groups: hypogonadal patients with testosterone level ,280 ng/dL and eugonadal patients with testosterone
level .280 ng/dL. The serum levels of testosterone, FSH, and LH were measured before
surgery and 3 months after surgery, and the results were analyzed using the SPSS software.
P-value ,0.05 was considered statistically signifcant.
Results: Patients with varicocele after puberty till 50 years were divided into two groups:
hypogonadal (testosterone ,280 ng/dL) and eugonadal (testosterone .280 ng/dL) patients who
required varicocelectomy. The mean testosterone level before surgery in hypogonadal patients
was 215.22±83.31 ng/dL, which reached 326.95±35.125 ng/dL after surgery (P,0.0001),
which was signifcant. There was no signifcant decrease in the mean FSH level, but there was
a signifcant decrease in the mean LH level after varicocelectomy. In eugonadal group, testosterone level before surgery was 471.90±145.71 ng/dL, which reached 469.57±145.61 ng/dL
after surgery, which was not signifcant.
Conclusion: In our study, patients who underwent varicocelectomy had improved testosterone
levels, so that this increase was more signifcant in hypogonadal patients than in eugonadal
patients. Decrease in LH and FSH levels in all patients was seen after varicocelectomy, which
can be due to increase in testosterone levels