MP91-07 FERTILITY IN PROFESSIONAL SOLDIERS POPULATION WITH VARICOCELE

Abstract

You have accessJournal of UrologyInfertility: Epidemiology & Evaluation1 Apr 2016MP91-07 FERTILITY IN PROFESSIONAL SOLDIERS POPULATION WITH VARICOCELE Guy Verhovsky and Amnon Zisman Guy VerhovskyGuy Verhovsky More articles by this author and Amnon ZismanAmnon Zisman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2594AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To characterize trends in the management of varicocele treatment in soldiers. METHODS Billing documents for varicocele repair surgeries issued by Israeli Defense Forces (IDF) medical corps were evaluated since 1970. The population chosen was of professional soldiers bearing a medical record of varicocele. Fertility was evaluated by live births and time to first child. RESULTS 4713 professional soldiers bearing a record of varicocele served since 1970. Among them 1845 (35%) were married, 87 were operated (4.7%) and 1758 were observed. 63 (72%) were operated before marriage and 24 after (primary infertility). Data shown in the table below: In the operated population due to primary infertility live birth was achieved in 58% in comparison to 79% of soldiers operated before marriage (p=0.047). The rate of live birth in the control group was 76% (p<0.0001). No difference was noted in live birth rate between operated and the observation group. In the group that was operated prior to marriage a 3.76 y delay was noted to the birth of first child compared with 1.86-2.03 y in the other groups. CONCLUSIONS The rate of live birth in soldiers with varicocele record is notably lower than the control group and was normalized only among subjects who were operated before marriage (preventive surgery) although with a substantial delay in time to first child. Observation led to lower live birth rate than in the control group but without statistical difference from soldiers operated with preventive intent suggesting an adequate patient selection. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e1155 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Guy Verhovsky More articles by this author Amnon Zisman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...