Correlation between the testicular hypotrophy degree and the testosterone level in the testicular vein in patients with varicocele

Introduction. High testosterone concentration in the testicular vein can be potentially connected to well-known Leydig cell hyperplasia in patient with varicocele. Aim. To study the relationship between the value of testicular hypotrophy and testosterone levels in the testicular vein in children and adolescents with varicocele. Materials and methods. The study includes 35 men and adolescents with left-sided varicocele in the fifth stage of puberty according to Tanner. Indications for surgery were formed if adolescents had testicular hypotrophy of 20% or more and pain in the ipsilateral half of the scrotum. In adult patients, indications for varicocelectomy were formed against a background of infertility in marriage combined with pathospermia. We studied the concentration of testosterone in the blood obtained from the testicular vein during varicocelectomy Blood sampling from the veins of the spermatic cord was performed after obtaining the informed consent from the patients...