بررسی فراوانی واریکوسل در فراگیران آموزشی پادگان های آموزشی ناجا

introduction: varicocele is an abnormal distension and tortuosity ofpampiniform plexus of the spermatic cord. by appearing at puberty, it canaffect testicular growth and semen parameters and is considered as one of themain causes of male infertility. although in most cases the surgical treatmentof varicocele is an effective approach to return testicular function and improvesemen parameters, but fertility can be restored only in 30-40% of patients. thefact indicates the importance of early diagnosis and treatment of varicocelein population. therefore, we conducted the present study to determine theprevalence of varicocele and its clinical complications among learners innaja training camps.materials & methods: we performed a cross-sectional study of 1200 soldiersin naja training camps including shahid adibi, marzan-abad, and malek-ashtar, arak, who were admitted to clinics due to non-urological complaintsduring year 2008. of total participants, data collected from 1054 soldiers wereusable and considerable. demographic data, medical history and physicalexamination results that were achieved by trained physicians were recorded inquestionnaires and relevant clinical forms.results: of examined cohort, 254 subjects (24.1%) were diagnosed withvaricocele. it involved bilateral testes in 62 patients (5.9%), right side testisin 64 patients (6.1%), and left side testis in 128 patients (12.1%). of onehundredtwenty six patients (12%) with right sided varicocele, 83 patients(65.9%), had grade i, 32 patients (25.4%) had grade ii and 11 patients (8.7%)had grade iii varicocele. moreover, among 190 patients diagnosed with leftsided varicocele, 138 patients (13.1%) had grade i, 32 patients (30%) hadgrade ii and 20 patients (1.9%) had grade iii varicocele.conclusion: regarding to the development of varicocele at puberty, the effectof varicocele on testicular growth, its high prevalence and being asymptomaticin population, that was also found in 24.1% of our study cohort, as well as thepossibility of preventing and reversibility of complications such as testicularatrophy and hypertrophy through surgical therapy, screening, preventivemeasures and the early treatment are highly emphasized.