The Study of Effects of Varicosity Degree and AsAb on Semen Parameters in Patients with Varicoce

Objective To investigate the effects of varicosity degree,AsAb of spermatic and peripheral vein blood on the semen parameters in patients with varicocele.Methods Forty-five patients with varicocele were selected with high ligation of varicosity.The degree of varicosity were measured before operation.There were 32 patients with degree II and the other 13 with degree III.Also they received semen analysis.In operation they were exsanguinate spermatic and peripheral vein blood,antisperm antibody(AsAb) were measured by ELISA.Results(1).In varicocele III's patients semen parameters,sperm concentnation、a,b grade motile sperm concentration 、rate of abnormal morphological sperm were all great different from varicocele II 's patients(P0.05).varicocele III's sperm motility had a significant difference from varicocele II patients(P0.01).(2).In semen parameters of patients with varicocele by AsAb(+) group,sperm motility,a,b grade motile sperm concentration were lower than the AsAb(-).There were significant difference between them(P0.01).In AsAb(+) group,sperm concentration was lower than AsAb(-) group(P0.05).Conclusion By aggravate of varicosity degree in varicocele,it might have a great influence on semen parameters,could further affect fertility.AsAb(+) might increase the incidence of male infertility in varicocele patients.