[Effect of Palomo procedure on the quality of the semen in infertile patients with varicocele and oligoastenospermia].

Objective: To evaluate the effect of Palomo's surgery on the semen quality from oligospermic infertile men with varicocele.
Study Design: Retrolective cohort.
Setting: Hospital General Regional No. 1, IMSS, Culiacán, Sinaloa.
Patients: 39 oligospermic infertile men with varicocele.
Interventions: Palomo's surgery.
Measurements: A spermatobioscopy before the Palomo's surgery was performed, and after the surgery two spermatobioscopies in different times of six months.
Results: Spermatobioscopy before the surgery: Concentration/mL = 8.8 +/- 4.1 millions, Motility = 19.5 +/- 10.0%, Vitality = 66.2 +/- 14.4%. First spermatobioscopy after surgery: Concentration/mL = 29 3 +/- 18 3 Motility = 41 5 +/- 19 1, Vitality = 74.7 +/- 14.5. Second spermatobioscopy after surgery: Concentration/mL = 14.6 +/- 10.3, Motility = 28.0 +/- 14.8, Vitality = 78.7 +/- 16.8. All differences from the spermatobioscopy before the surgery were significant.
Conclusion: Palomo's surgery has a favorable effect on the quality of the semen, with a diminishing trend in concentration and motility in the second semester after the surgery. The pregnancy rate was 15%.