Effects of micronised purified flavonoid fraction on pain, semen analysis and scrotal color Doppler parameters in patients with painful varicocele; results of a randomized placebo-controlled study
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Aim of this study is to evaluate the effects of micronised purified flavonoid fraction (Daflon®) on pain, semen analysis and color Doppler parameters in patients with painful varicocele.
Materials and methods
Forty varicocele patients whom have normal sperm concentration (>20 million/ml) were involved in the study. The patients were divided into two groups such as Daflon (n = 20) and placebo (n = 20) group. Pain score, semen analyses and Doppler sonography were performed in all patients before and after the treatment.
In the first group, mean pain scores at 1, 3, 6 and 12 months were 1.80 ± 1.32, 1.15 ± 0.93, 1.05 ± 0.95 and 0.95 ± 0.89, respectively, all were significantly lower (P < 0.001 for each) than baseline (5.25 ± 1.07). While semen volume, total sperm count, sperm concentration and morphology were not changed significantly, the motility of sperm increased significantly (P = 0.015) due to decrease in grade 1 sperms at the 6th month in the first group. Reflux time of left spermatic vein during the Valsalva maneuver decreased significantly (P < 0.001).
Results of this study suggest the safety and efficacy of Daflon in the treatment of varicocele-associated pain. However, these results of the present study must be confirmed by randomized placebo-controlled studies by using different drug doses and durations before making any recommendation for the use of Daflon.
KeywordsConservative treatment Micronised purified flavonoid fraction Pain Semen analysis Varicocele
- 3.Turek P, Lipshultz L (1995) The varicocele controversies. I. Etiology and pathophysiology. AUA Update Series, vol 24. American Urological Association, Houston, pp 105–112Google Scholar
- 12.World Health Organization (2010) Appendıx 1: reference values and semen nomenclature. In: Who laboratory manual for the examination and processing of human semen, 5th edn. WHO press, Geneva. pp 223–225Google Scholar
- 21.Nagler H, Luntz R, Martinis F (1997) Varicocele. In: Lipshultz LI, Howards SS (eds) Infertility in the Male. 3. St Louis, Mosby, pp 336–360Google Scholar