Therapeutic effectiveness of microsurgical varicocelectomy and Qilin pill for varicocele-induced asthenospermia

Abstract

Objective To explore the therapeutic effectiveness of microsurgical varicocelectomy and Qilin pill for varicocele complicated with asthenospermia, Methods Eigthy cases of varicocele with asthenospermia were randomly divided into two groups: simple surgical group(n= 40), and surgical treatment and Qilin pill(combined)group(n= 40). Results The microsurgical varicocelectomy was performed successfully on all patients, and the symptoms of varicocele disappeared. The semen quantity and the serum inhibin B(Inh B) were obviously improved(P< 0. 01) after operation in two groups.The semen density[(22. 46±2. 58)×106/L]and vigour(60. 43±3. 14)%, and Inh B[(139. 37 ±34. 94) ng/L] were significantly increased in combined group as compared with simple surgical group [semen density(19. 68±2. 04)×106/L and vigour(53. 42±3. 97)%, Inh B(128. 75±6. 94) ng/L, P< 0. 05]. Pregnancy rate(77. 50%) was significantly higher than in smple surgical group (55. 00%,P< 0. 05). Conclusion Microsurgical varicocelectomy and Qilin pill therapy for varicocele could significantly improve the semen quality after operation in patients with asthenospermia. Key words: Microsurgical varicocelectomy; Qilin pill; Varicocele; Asthenospermia; Serum inhibin B