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Comparison of spermatic and peripheral blood gases and their correlation with spermogram pattern and varicocele grade in patients with a varicocele.
Dialameh, Hossein; Namdari, Farshad; Nazarpour, Mohammad Javad; Gouravani, Mahdi; Mahalleh, Mehrdad; Bahoush, Masoud; Marjooee, Alireza; Ramezani-Binabaj, Mahdi; Nikoobakht, Mohammad Reza; Kiani, Mahsa.
Afiliação
  • Dialameh H; Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  • Namdari F; Department of Urology, AJA (ARTESH) University of Medical Sciences, Tehran, Iran.
  • Nazarpour MJ; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Gouravani M; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Mahalleh M; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Bahoush M; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Marjooee A; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Ramezani-Binabaj M; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Nikoobakht MR; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
  • Kiani M; Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
Hum Fertil (Camb) ; : 1-5, 2022 Mar 10.
Article em En | MEDLINE | ID: mdl-35266418
ABSTRACT
The relationship between infertility and varicocele is still a controversial topic. This study aimed to find the association between the venous blood gas (VBG) pattern of the spermatic veins and peripheral veins with varicocele grade and spermogram variables in infertile patients. A total of 47 patients with a varicocele were enrolled in this study. Blood samples were drawn simultaneously from the spermatic vein and a peripheral vein. The pH, partial pressure of oxygen, the partial pressure of carbon dioxide, oxygen saturation, and bicarbonate values of these samples were analysed. The mean age of participants was 30.48 ± 6.08. The mean volume of semen was 3.92 ± 1.57 mL, and the mean semen pH was 7.88 ± 0.22. The pH was higher (p < 0.01) in the spermatic vein compared with the peripheral vein. However, level of other parameters including pO2 (p = 0.662), pCO2 (p < 0.001), HCO3 concentration of serum (p < 0.01), and base excess (p = 0.172) were lower in the spermatic vein in comparison with the peripheral vein. Correlations between VBGs determinants of the varicocele patients' spermatic vein and sperm morphology and motility were insignificant. In conclusion, although the clinical significance of VBGs is evident, there are limited studies that investigated the VBGs in varicocele patients. We should consider that the deviation in blood gases may be the missing piece in the puzzle to understand the pathophysiology of varicocele. By knowing the pathophysiology more precisely, we can better decide the ideal treatment option for the patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article