Assessment of the clinical significance of right subclinical varicocele in subfertile men

Purpose: Recent progress in diagnostic methods has revealed a higher incidence of subclinical right varicocele, the clinical significance of which is controversial in the field of male infertility. As such, we assess the fertility after varicocelectomy in patients with right subclinical varicocele. Patients and methods: A total of 101 infertile patients underwent either left unilateral [group A] or bilateral [group B] varicocelectomy. The former group included 43 patients diagnosed by clinical examination only to have left clinical varicoccle. The later group included 58 patients diagnosed to have left clinical varicocele and right subclinical varicocele based on scrotal Doppler examination. A significant difference was found in both the improvement in postoperative semen characteristics and the spontaneous pregnancy rate between the sonographically diagnosed bilateral and the clinically diagnosed unilateral groups. These data suggest that the limited results of left varicocelectomy in the infertile patients diagnosed by physical examination alone may be in part due to the overlooked subclinical right varicocele. The subclinical right varicocele can affect spermatogenesis in Therefore, we compared the results of varicocelectomy in patients diagnosed to have left clinical varicocele by physical examination only and in patients diagnosed to have left clinical varicocele and right subclinical varicocele based on scrotal Doppler examination

Study of penile sensitity in patients with primary premature ejaculation

We have evaluated penile sensory levels in patients with primary premature ejaculation to determine whether there is an etiological basis for this disorder and whether there is a sensory difference among these patients Penile biothesiometry was performed in 78 patients with primary premature ejaculation and in 20 men with normal satisfactory ejaculation as a control group. Both patients and control men selected from the same age group [30-40 years]. Vibratory thresholds were recorded at the glans penis and both lateral aspects of mid penile shaft. Vibratory thresholds of the three location sites [glans penis and right and left mid penile shaft] in the patients group were significantly lower than those in the normal control group, Based on the glanular vibratory threshold, the patients were classified into three subgroups. The average of thresholds of the three location sites was used as an indicator for the penile sensitivity as a whole in each patient and it was termed by us as penile sensitivity index [PSI]. significant differences in PSI were detected between the three subgroups of patients. Patients with primary premature ejaculation have penile hypersensitivity with different grades. This may provide further implications for an organic basis of primary premature ejaculation. Penile sensitivity index [PSI] may provide a quantitative evaluation of premature ejaculation and may aid in the selection of therapy and evaluation of its outcome