Preoperative Total Testicular Volume as a Predictor of Total Motile Sperm Count Improvement Following Microsurgical Varicocelectomy

Andrology 2026 Open access

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Authors: Manish Kuchakulla, Aaron A. Gurayah, Phillip J. Poppas, Hriday P. Bhambhvani, John Michael Masterson, Marc Goldstein, James A. Kashanian
DOI: 10.1111/andr.70210
Cited by: 1
References: 28

Abstract

BACKGROUND: Varicocelectomy has been shown to improve semen parameters in men with infertility; however, not all men experience improvement. Identifying preoperative predictors of semen parameter improvement is necessary for counseling and treatment planning. OBJECTIVE: To determine if preoperative total testicular volume is associated with improved total motile sperm count (TMSC) after microsurgical varicocelectomy and to establish an optimal volume threshold for predicting clinical outcomes. MATERIALS AND METHODS: We retrospectively reviewed 110 men who underwent microsurgical varicocelectomy for infertility between January 2017 and May 2024. Inclusion criteria were adult men with preoperative TMSC

Fields of Study & Subjects

Sperm and Testicular Function Male Reproductive Health Studies Testicular diseases and treatments

Publication details

Journal / source
Andrology
Publisher
Wiley
Volume
14
Issue
6
Pages
1600–1606
Publication date
30 March 2026
Language
EN