NGHIÊN CỨU ĐẶC ĐIỂM TINH DỊCH ĐỒ TRƯỚC PHẪU THUẬT CỦA BỆNH NHÂN GIÃN TĨNH MẠCH TINH ĐƯỢC ĐIỀU TRỊ BẰNG VI PHẪU THUẬT TẠI BỆNH VIỆN XANH PÔN

Abstract

Objective: This study aimed to analyze preoperative semen parameters in patients with varicocele at Xanh Pon Hospital. Methods: This was a descriptive cross-sectional study without a control group. Results: The mean age of patients was 26.3 ± 4.15 years. BMI distribution revealed that 9.4% of patients had a BMI under 18, 65.6% had a BMI between 18 and 25, and 25% had a BMI over 25. Varicocele location was predominantly left-sided, accounting for 84.4% of cases, while 6.3% were right-sided, and 3.1% were bilateral. In terms of varicocele grading, 3.1% of cases were Grade I, 28.1% were Grade II, and 68.8% were Grade III. In the preoperative semen analysis, 18.8% of patients had a semen volume under 2 ml, while 81.2% had a volume of 2 ml or more. For sperm concentration, 25% of patients had less than 20 million sperm/ml, while 75% had a concentration of at least 20 million/ml. The total sperm count was below 40 million in 31.3% of patients, while 68.8% had a normal total sperm count. In terms of progressive motility, 37.5% of patients had a motility rate below 50%, while 62.5% showed a rate of 50% or higher. Sperm viability was under 75% in 15.6% of patients, with 84.4% within the normal range. Lastly, 21.9% of patients had abnormal sperm morphology under 4%, while 78.1% had normal morphology. Conclusion: Among patients with varicocele prior to surgery, 18.8% had a semen volume under 2 ml, 25% had a sperm concentration under 20 million/ml, and 31.3% had a total sperm count under 40 million. Additionally, 37.5% of patients had progressive motility below 50%, and 15.6% had sperm viability below 75%.