Relationship between varicocele, sexual dysfunction and serum testosterone levels

Authors

  • Ihosvani Baños Hernández Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba.
  • Iliana De Armas Ampudia Unidad de Andrología. Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba
  • Kenia Ramos Padilla Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba
  • Idelma Castillo García Hospital Clínico Quirúrgico Dr. León Cuervo Rubio. Pinar del Río. Cuba

Keywords:

VARICOCELE, ERECTILE DYSFUNCTION, TESTOSTERONE.

Abstract

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.

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Author Biographies

Ihosvani Baños Hernández, Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba.

Médico. Especialista de Segundo Grado en Urología. Profesor Titular. Unidad de Andrología

Iliana De Armas Ampudia, Unidad de Andrología. Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Médica. Especialista de Primer Grado en Medicina General Integral y en Urología. Máster en Longevidad Satisfactoria. Profesora Auxiliar.

Kenia Ramos Padilla, Hospital General Clínico Quirúrgico Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Médica. Especialista de Segundo Grado en Medicina Tradicional y Natural. Máster en Medicina Bioenergética y naturalista. Profesora Auxiliar.

Idelma Castillo García, Hospital Clínico Quirúrgico Dr. León Cuervo Rubio. Pinar del Río. Cuba

Médica.Especialista de Segundo Grado enUrología. Profesora Auxiliar.

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Published

2018-05-18

How to Cite

1.
Baños Hernández I, De Armas Ampudia I, Ramos Padilla K, Castillo García I. Relationship between varicocele, sexual dysfunction and serum testosterone levels. Rev Ciencias Médicas [Internet]. 2018 May 18 [cited 2025 Sep. 10];22(3):490-2. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/3388

Issue

Vol. 22 No. 3 (2018)

Section

ORIGINAL ARTICLES

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