A Clinical study was made on 36 cases of varicocele during the period from January 1979 to June 1981.
The results obtained were as follows:
1. During this period, the total number of in-patients was 449 among which 36 cases had varicocele, giving a rate of 8% of total in-patients.
2. The age distribution was between 18 and 45 year, showing the highest incidence in 21 to 23 year (44.4%).
3. Site of lesion showed 86.1% in left, 11.1% in both, 2.8% in right.
4. The clinical symptoms of varicocele showed inguinal dragging pain in 83.3%, testicular pain in 22.2% walking disturbance in 5.6% and symptomless in 5.6%.
5. In all the cases, semen analysis was performed pre-operatively, among which 36.1% showed poor semen quality.
6. Effort was made to detect the relationship with duration of symptom and semen quality. Of the 7 cases who had symptom over 2 years, 5 cases (71.4%) showed poor semen quality. Of the 20 cases who had symptom less than 1 year, 4 cases (20%) showed poor semen quality.
7. In all the cases, operation was undertaken by Palomo`s method. Recurrence of the varicocele occurred in 2 cases (5.6%).
8. Bilateral testicular biopsies were undertaken in 4 cases, revealed similar findings in both testicles.
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