{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T05:55:51Z","timestamp":1740894951068,"version":"3.38.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Varicocele is a condition in which the veins in the spermatic cord become enlarged and twisted. Varicocele is widely recognized as the leading cause of male infertility due to its significant impact on reproductive health in men. The aim of this study was to investigate the relationship between the diameter of the varicose vein and the recovery rate of the spermogram after varicocelectomy. Also, the effect of body mass index (BMI) on sperm parameters after varicocelectomy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> This descriptive and analytical cross-sectional study was conducted in Valiasr Hospital\u2019s urology clinic in Qaemshahr, Iran from August 2018 to August 2019 and involved 27 men with unilateral left varicocele who met the inclusion criteria for surgical repair. Before the operation, we recorded demographic information, the maximum diameter of varicose veins in the pampiniform plexus, and spermogram results. We repeated semen analysis 3\u2009months after the operation and analyzed the data using Statistical Package for the Social Sciences version 21 software. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Our findings showed that the diameter of the varicose vein before varicocelectomy was not significantly associated with the improvement of main semen parameters after the operation. Furthermore, our study suggested that a lower body mass index might contribute to a greater improvement in sperm motility, as individuals with lower BMI showed more significant improvement. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion:<\/jats:title><jats:p> There is a significant inverse relationship between BMI and sperm motility improvement after surgery. Patients with a lower BMI showed greater improvement in sperm motility. <\/jats:p><\/jats:sec>","DOI":"10.1177\/03915603241247290","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T11:53:30Z","timestamp":1713441210000},"page":"794-799","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Semen parameter enhancement after varicocelectomy: Insights into varicose vein diameter and BMI influence: A cross-sectional study"],"prefix":"10.1177","volume":"91","author":[{"given":"Mohammad Kazem","family":"Hariri","sequence":"first","affiliation":[{"name":"Department of Urology, Islamic Azad University of Medical Sciences, Sari Branch, Sari, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad-Bagher","family":"Rajabalian","sequence":"additional","affiliation":[{"name":"Department of Urology, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1574-0055","authenticated-orcid":false,"given":"Behzad","family":"Narouie","sequence":"additional","affiliation":[{"name":"Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran"},{"name":"Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sina","family":"Ahmadaghayi","sequence":"additional","affiliation":[{"name":"Islamic Azad University of Medical Sciences, Sari Branch, Sari, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghasem","family":"Rostami","sequence":"additional","affiliation":[{"name":"Department of Urology, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadijeh","family":"Ezoji","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7553-1635","authenticated-orcid":false,"given":"Hamidreza","family":"Momeni","sequence":"additional","affiliation":[{"name":"Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7399-6774","authenticated-orcid":false,"given":"Negar","family":"Radpour","sequence":"additional","affiliation":[{"name":"Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"bibr1-03915603241247290","doi-asserted-by":"publisher","DOI":"10.1111\/and.13576"},{"key":"bibr2-03915603241247290","doi-asserted-by":"publisher","DOI":"10.5173\/ceju.2015.642"},{"key":"bibr3-03915603241247290","first-page":"1","author":"Hamada A","year":"2016","journal-title":"Varicocele and male infertility: current concepts, controversies and 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