Relationship between varicocele, sexual dysfunction and serum testosterone levels

Revista de Ciencias Médicas de Pinar del Río

卷:22

idelma Castillo García¹  Ihosvani Baños Hernández²  kenia Ramos Padilla³  Iliana De Armas Ampudia⁴ 

[1] Hospital Clínico Quirúrgico Dr. León Cuervo Rubio. Pinar del Río. Cuba;

[2] Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba.;

[3] Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba;

[4] Unidad de Andrología. Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba;

关键词: VARICOCELE;    DISFUNCIÓN ERÉCTIL;    TESTOSTERONA.;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: the relationship of varicocele with erectile sexual dysfunction and testosterone concentration has not been fully elucidated.Objective: to assess the possible relationship between the presence of varicocele, testosterone serum levels and erectile sexual dysfunction.Method: a cross-sectional study was conducted in Pinar del Río, during the years 2014-2017. The correlation between the presence of varicocele and erectile sexual dysfunction was established. Testosterone levels were compared in patients with and without varicocele. For categorized variables, the X2 test was applied. The quantitative variables were compared using the t-Student test. The analyses were performed with SPSS 23 software and a 95% certainty.Results: the prevalence in patients with varicocele was 38.6% and in those who did not suffer from it, it was 26.1%. Chi square test (X2 = 6.5, p = 0.01) showed a significant association between both entities and the inconsistency ratio shows a slight increase in the risk of suffering from erectile sexual dysfunction in case of varicocele, OR = 1.7 95% CI = 1.14-2.78. The mean testosterone serum concentration was lower in patients with varicocele (11.8 nmol / L versus 16.1 nmol / L). The t-Student test (t = 5.6, p = 0.00) showed a significant difference in both groups in relation to the determinations of this hormone.Conclusions: these findings suggest varicocele might be involved in the occurrence of sexual dysfunction due to decreased levels of testosterone.

【 授权许可】

Unknown