ESPU Congress 2018 - Abstract Book

11–14 APRIL, 2018, HELSINKI, FINLAND

15:01–15:04

S10-5 (PP)

SEMEN ANALYSIS OF ADOLESCENTS WITH VARICOCELE:

WHAT IS IT TELLING US?

Marianna MASPERO

, Arianna LESMA

and Francesco MONTORSI

1) Ospedale San Raffaele, Pediatric Urology, Milano, ITALY - 2) Ospedale San Raffaele, Urology, Milano, ITALY

PURPOSE

In absence of semen analysis (SA), current recommendations for adolescent varicocele repair

are limited to presence of testicular hypotrophy or symptomatic varicocele. Is there a risk of

under-treatment?

PATIENTS AND METHODS

We retrospectively reviewed the SA of adolescents and young adults affected by grade III asymp-

tomatic varicocele without testicular hypotrophy, not submitted to treatment. Exclusion criteria were

other causes of male infertility, such as: history of cryptorchidism, testicular torsion, disorders of

sexual differentiation, hormonal disturbances, etc. We analyzed the entire cohort, then divided it

into patients younger than 18 years at SA and patients 18 and older, and compared the two groups

using Chi-square test.

RESULTS

Between 2007 and 2017, 75 patients performed SA at our Institute. Mean age at diagnosis was

14,8 years (9–17 years). 61 (81 %) had left-sided varicocele, while 14 (19 %) had bilateral. Mean

age at SA was 17,5 (15 – 23 years). 21 (28 %) had normozoospermia; 22 patients (30 %) had one

altered value (14 teratozoospermia, 8 asthenozoospermia); 24 (32 %) had two altered values (1 oli-

goteratozoospermia, 23 asthenoteratozoospermia); 6 (8 %) had oligoasthenoteratozoospermia;

and 2 (2 %) had azoospermia. No significant differences in SA results were found between patients

younger than 18 years and patients 18 and older (p > 0.05).

CONCLUSIONS

Early alteration of semen analysis is possible even in absence of symptomatic varicocele or tes-

ticular hypotrophy.

15:04–15:07

S10-6 (PP)

VARICOCELE SURGERY CAN RESTORE NORMAL

SPERM PARAMETERS IN ADOLESCENT PATIENTS

WITH TESTICULAR ASYMMETRY

David KEENE and Raimondo CERVELLIONE

Royal Manchester Children's Hospital, Department of Paediatric Urology, Manchester, UNITED KINGDOM

PURPOSE

Adolescent patients with varicocele and testicular asymmetry (>20 %) have significantly impaired

sperm concentration and forward motility (Keene 2012). Varicocele surgery can result in catch-up

growth of the affected testis. The authors aimed to determine if varicocele surgery also results in

improved sperm parameters in this group of adolescent patients.