Publications by authors named "F A Akilov"
We have analyzed the recent literature regarding varicocelectomy in men from infertile couples. The specific pathogenesis of testicular dysfunction in some men with varicocele is still unclear. Recent European and American urological guidelines suggest treatment of varicocele in infertile men with "abnormal" sperm parameters.
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- - Varicocele is closely linked to male fertility but has many unresolved issues that require urgent research, particularly regarding diagnosis and treatment protocols.
- - The lack of clear semen parameter reference values in the WHO manual makes it difficult to differentiate between normal and abnormal cases, complicating clinical decisions like whether to perform varicocelectomy.
- - There is a pressing need for large-scale clinical trials to clarify the effects of varicocele on fertility and to establish evidence-based management strategies, particularly for cases of isolated teratozoospermia and subfertility after surgery.
The development and widespread implementation of modern endourological procedures for the treatment of benign prostatic hyperplasia (BPH) has led to a significant reduction in postoperative complications, but these interventions are associated to an increase of bladder neck contracture (BNC) rate. Various data on the frequency, pathogenesis, and risk factors for the development of BNC after endourological interventions are presented in the literature review. The prevalence of BNC after transurethral procedures depending on the type of energy used reaches up to 10%.
View Article and Find Full Text PDFIntroduction: Varicocelectomy does not always lead to semen improvement and male fertility recovery.
Objectives: Analysis of total progressive motile sperm count (TPMSC) predictive role in fertility recovery of subfertile man after varicocelectomy in combination with other predictors.
Materials And Methods: This prospective, open, multi-center study comprises 93 men from infertile couples with clinical varicocele who underwent microsurgical (inguinal or subinguinal) varicocelectomy.
The objective was to reveal predictors for fertility recovery after varicocelectomy in subfertile men. This retrospective study recruited 93 men with clinical varicocele and pathozoospermia who underwent microsurgical varicocelectomy. Stepwise discriminant analysis was performed to identify predictors of spontaneous pregnancy (SP) after surgery.
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