اسم المؤلف:
حيدر لطيف فرحان المساعد
اسم المشرف:
صاحب يحيى حسن المرشدي
عبد الزهرة كاظم محمد علي
المستخلص:
شملت هذه الدراسة فحص 150 عينة من السائل المنوي لمرضى القيلة الدوالية Varicocele والاشخاص الخصبين بعد مدة امتناع قدرها 3 - 5 ايام حيث جمعت العينات في مختبرات مركز الخصوبة / مدينة الصدر الطبية / محافظة النجف الاشرف من 1 / 10 /2012 الى 30/ 4 /2013, لقلة الدر | This study was included 150 samples of semen for varicocele and fertile persons. The samples were collected after 3 - 5 day abstinence period at fertility center Laboratories / ALsader Medical city in An Najaf province.For the period from 1/10/2012 to 30/4/2013.Because the studies about varicocele are rare, the present studies aimed to know the impact of varicocele on semen and sperm parameter, sperm quality index, Malondialdehyde concentration and the percentage of sperm DNA integrity.So, this study was aimed at investigation wethere the Varicocelectomy in varicocele patients could positively influence studied parameters.The research was involved examining 83 sample of seminal fluid for varicocele patient. The percentage of varicocele grades were examined and the results were represented 40% grade1, 39% grade2 and 21% grade3.The result were showed a significant decrease (P<0.05) in sperm concentration , progressively motile sperm, normal sperm morphology percent and sperm viability percent for varicocele patient compared with the fertile persons, while there was noticed a significant increase (P<0.05) in Round cells concentration snd liquefaction time for varicocele patient compared to fertile person and the result of this study were showed significant decrease (P<0.05) of sperm quality index and sperm DNA integrity for varicocele patient compared to fertile persons (control).The study noted to the significant increase (P<0.05) of malondialdehyde concentration for varicocele patients compared to fertile persons. The coefficient factor was used to investigate the correlation between malondialdehyde concentration and the studies parameter.there was increase correlation (P<0.05) between malondialdehyde concentration and sperm concentration(r= - 0.86 P<0.05) progressively motile sperm (r= - 0.938), normal sperm morphology percent (r= - 0.90 P<0.05), sperm viability percent (r = - 0.846 P<0.05) and sperm quality index (r = - 0.836 P<0.05), while there was (P<0.05) positive correlation between malondialdehyde concentration and semen volume (r=+0.822 P<0.05), liquefaction time (r = +0.828 P<0.05) and round cells correlation (r= + 0.89 P<0.05).Also the coefficient was used to study the correlation between sperm DNA integrity and other study parameter. The results of this study were showed positive correlation between the percentage of DNA integrity and sperm concentration (r= +0.88 P<0.05), progressively motile sperm (r=+0.78P<0.05), normal sperm morphology (r= +0.86 P<0.05), sperm viability percentage (r=+0.87 P<0.05) and sperm quality index (r= +0.81 P<0.05), while it was noticed in used correlation between sperm DNA integrity and malondialdehyde concentration (r= - 0.681 P<0.05), semen volume (r= - 0.67 P<0.05), liquefaction time (r= - 0.65 P<0.05) and round cells (r= - 0.54 P<0.05). The effect of varicocele grading on sperm and semen parameter, sperm quality index, malondialdehyde concentration and percentage of sperm DNA integrity was studied, the result were showed a significant decrease (P<0.05)of sperm concentration, progressively motile sperm, sperm viability and normal sperm morphology percentage, and a significant increase (P<0.05) of liquefaction time and Round cells concentration for varicocele patients grad1, grade2 and grade3 compared with the fertile persons. and when we are compare between varicocele patient according to type of grade the results were show a significant decrease (P<0.05) of sperm concentration, progressively motile sperm and normal sperm morphology percentage and a significant increase (P<0.05) of liquefaction time for varicocele patients grade2 and grade3 compared to grade1 varicocele patient.So the result showed a significant decrease (P<0.05) of sperm concentration for grade3 varicocele patients compared with the grade2 varicocele patients. The result of this study were showed a significant decrease (P<0.05) in sperm quality index and sperm DNA integrity for grad1, grade2 and grade3 varicocele patients compared to fertile persons. also it was noticed a significant decrease (P<0.05) of sperm quality index and sperm DNA integrity for grade2 and grade3 varicocele patients compared to grade1 varicocele patients but the malondialdehyde concentration according to varicocele grade, the result were showed a significant increase (P<0.05) of malondialdehyde concentration for grade2 and grade3 varicocele patients compared to grade1 varicocele patients and fertile persons. In this study the effect of Varicocelectomy on study parameters was studied and the result were showed a significant increase (P<0.05) of sperm concentration, progressively motile sperm, sperm viability percentage, normal sperm morphology, percent, sperm quality index and sperm DNA integrity and a significant decrease (P<0.05) of liquefaction time and malondialdehyde concentration for Varicocelectomy compared to varicocele patients. The result were showed a significant decrease (P<0.05)of sperm viability percent, normal sperm morphology percent, sperm DNA integrity and sperm quality index and a significant increase (P<0.05) in round cells concentration, liquefaction time and malondialdehyde concentration for Varicocelectomy patients compared to fertile persons.From the result of present study, we are concluded that varicocele has been negatively impact on sperm and semen parameters, malondialdehyde concentration and sperm DNA integrity, and the effect of varicocele is associated with the increasing of varicocele grading, while Varicocelectomy has been positive impact on sperm and semen parameters, malondialdehyde concentration and sperm DNA integrity but this result have not reached to similar state to fertile persons
