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SEMEN ANALYSIS RESULTS BEFORE AND AFTER TREATMENT OF MALE HYPOGONADISM WITH VARICOCELE IN CAN THO CITY
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Abstract
Objective: To evaluate semen analysis results before and after treatment with varicocelectomy and testosterone replacement therapy in hypogonadal patients with varicocele. Subjects and Methods: A controlled interventional cross-sectional descriptive study. The study included 74 male patients with hypogonadism and varicocele. They were divided into two treatment groups: 39 patients underwent varicocelectomy, and 35 patients were treated with 5g Androgel in Can Tho City from April 2023 to April 2025. Results: The surgical group had a lower mean age and BMI compared to the medical treatment group, with these differences being statistically significant (p < 0.05). After varicocelectomy, there were improvements in sperm density, count, total motility, progressive motility, viability, and normal morphology rates compared to medical treatment (p < 0.05). Conclusion: Varicocelectomy in male hypogonadal patients improves sperm quality and quantity.
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Keywords
male hypogonadism, varicocele, varicocelectomy, Androgel.
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