Title: A Clinical Study of Correlation between Spermatogenesis and Hydrocele in Fertile Age Group Patients
Authors: R.K. Singh, K.B. Mishra, Saurabh Singh
DOI: https://dx.doi.org/10.18535/jmscr/v7i5.06
Abstract
Introduction: Hydrocele surrounds testes and by virtue of this, it is liable to cause some change in the external environment of testes. This can be in the form of increased pressure, increased temperature. This can ultimately result in the morphological alteration of testes, which in turn can affect spermatogenesis
Aims: To study the effect of Scrotum size, etiology of Hydrocele and volume of fluid of hydrocele on spermatogenesis.
Material and Methods: The study was conducted in the department of general surgery GSVM Medical College, and Associate LLRM Hospital from January 2017 to October 2018 on 120 patients who were admitted from casualty and outpatients department with a diagnosis of Bilateral hydrocele.
Result: It was found that Bilateral Hydrocele have a little effect over spermatogenesis, Majority of cases were of Severe Hydrocele. there was marked thickening of the tunica albugenia, There was oligozoospermia seen in 15% of case which improved postoperatively, some cases also showed defect in sperm morphology and sperm motility. None of these changes correlated with Pain and etiology hydrocele.
Conclusion: It is concluded that vaginal hydroceles significantly affect the morphology of the testis. there is a significant association of Size and duration of Hydrocele with Total Sperm Count , Sperm motility, Sperm Morphology. To sum up it would seem that big hydrocele of long duration impair spermatogenesis.
References
- Altman D.G. (1992) – Practical statistics for Medical Research London Chapan & Hall
- Amelar R.D., Dubin L.: Male infertility, Current diagnosis and treatment, Urology 1: 1, 1973.
- Amelar R.D.: Infertility in men, Diagnosis and treatment, Davis, Philadelphia,1966.
- Bhatnagar BNS, Dubey B, Shukla A.P.:, Testicular histology in tropical vaginal hydrocele INT Surgery 1970 : 53 : 167-70.
- Charney C.W. Effect of varicocele on fertility. Fertil, Steril., 13 47, 1962.
- Charney C.W.: Testicular biopsy,In Jeol CA (Ed). Fertility disturbances in men and women. Karker, Basel, P. 135, 1971.
- Dandapat H.C. Padhi N.C., Patra AP- Effect of hydrocele on testis and spermatogenesis. Br. J. Surg. Novo' 77 November, 1993 -1994.
- Dedhia, Rao, Prabhu : Alteration in testicular histology in Hydrocele. Eur. Urol. 1981; 34 (5) : 393 - 5.
- Gratani,a S. Pathogenesis of hydroceIe in filarial infection. Trop. Georg. Med. 21 : 254-268., 1969a.
- Krahn, H.P., Tessler A.N. and Hotch Hiss R.S.: Studies of the effect of hydrocele upon scrotal temperature, pressure and testicular morphology. Fertil. Steril. 14: 226-230, 1963.
- Saifee IA. Kukreti S.C. Godbole V.K. : Effect of vaginal hydrocele on spermatogenesis. Ind. J. Surg. 1980: 42, 130-3
- Scott, L.S., Young, D. Varicocele A study of its effects on human spermatogenesis and of the results produced by spermatic vein ligation. Fertil. Steril , 13: 325, 1962.
- Singh MP, Goel TC, Agarwal PK, Singh M. : Effects of Hydrocele over testicular Histology. Indian J. Pathol Microbiol. 1989 Oct. ; 32 (4) : 261 - 5.
- Wallace A.F.: Aetiology of the idiopathic hydrocele. Brit. J. Mol. 32: 79, 1960.