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Minerva Urol Nefrol. 2008 Dec;60(4):199-204.

The role of lifestyle changing to improve the semen quality in patients with varicocele.

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Department of Surgical Sciences, Pediatric Surgical Unit, University of Verona, Verona, Italy.



To evaluate the recovery of semen quality in patients with high grade varicocele without hypotrophy and abnormal semen analysis using a simple lifestyle changing protocol.


Fifty-two patients were eligible for this study. Two semen sample were collected at baseline and other two after treatment.


patients had to stop or decrease the number of cigarette per day, reduce the coffee and alcohol consumption, introduce fruits and vegetables in the daily diet and have a normal sexual activity with an abstinence of tree days before semen collection. All the variables and the semen parameters were evaluated and correlated between responders and non-responders.


Forty patients (76%) had an improvement of semen quality showing a normal semen analysis following the WHO criteria. The other 12 patients had an improvement of the semen quality but without statistical differences. Smokers and drinkers (for both coffee and alcohol) had lower sperm volume, lower sperm motility and vitality when compared to the others.


The analysis of data collected by the spermiograms showed that semen quality could benefit from lifestyle changing. This finding is important for the management of patients with varicocele, suggesting that lifestyle changing could avoid surgery.

[Indexed for MEDLINE]

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