1. Preoperative neutrophil-to-lymphocyte ratio as a new prognostic predictor after microsurgical subinguinal varicocelectomy
- Author
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Erhan Ates, Murat Ucar, Mehmet Zeynel Keskin, Gökçe, Ahmet, Ates, E, Ucar, M, Keskin, MZ, Gokce, A, Sakarya Üniversitesi/Tıp Fakültesi/Cerrahi Tıp Bilimleri Bölümü, and Gökçe, Ahmet
- Subjects
Adult ,Male ,Infertility ,Microsurgery ,medicine.medical_specialty ,Neutrophils ,Urology ,030232 urology & nephrology ,Inguinal Canal ,Semen ,Semen analysis ,Leukocyte Count ,Young Adult ,03 medical and health sciences ,Endocrinology & Metabolism ,0302 clinical medicine ,Endocrinology ,Varicocele ,medicine ,Humans ,Lymphocytes ,Neutrophil to lymphocyte ratio ,Infertility, Male ,030219 obstetrics & reproductive medicine ,medicine.diagnostic_test ,business.industry ,Area under the curve ,General Medicine ,Odds ratio ,Prognosis ,medicine.disease ,Sperm ,Confidence interval ,business - Abstract
Various studies have been reported to predict the success of varicocelectomy. Neutrophil-lymphocyte ratio (NLR) is a frequently used indicator of systemic inflammation. We aimed to evaluate the effect of inflammation on the success of varicocelectomy using the NLR. The data of 86 patients who underwent varicocelectomy for infertility were evaluated retrospectively. Pre-operative demographic characteristics of patients, laboratory results such as haemogram, and semen analysis and clinical data were recorded. The semen analysis with the highest total motile sperm count was accepted as pre-operative value. Control was performed with semen analysis at post-operative 6th month. As described in previous studies, in our study, more than 50% increase in total motile sperm count in post-operative semen analysis was defined as a significant improvement. However, at least a 100% increase was required for patients with a total motile sperm count
- Published
- 2019