Discussion on correlation between varicocele and partial androgen deficiency in aging males

Objectives To discuss the correlation between varicocele and Partial Androgen Deficiency in Aging Males.Methods Retrospectively analyzed the clinical data of 86 cases(40years or older)who suffer from primary varicocele with PADAM.All the petient were given PADAM measuring form and high ligation of spermatic vein,including 72 patients undenwent androgen replacement therapy after operation.Results We found 86 cases of varicocele with Partial Androgen Deficiency in Aging Males in 126 patients of varicocele,and the incidence is 68.3％,including 72 cases with Physical exerciee and vasomotor symptoms,68 cases with mental psychological symptoms;71 cases with sexual disturbance,110 cases whoes serum tesi 、osterone below 2.8ng/dl,and 62 cases with serum testoeterone between 2.8-4ng/d1.After operation and androgen replacement therapy,clinical symptom score was decreased form 22 ( 20 ～ 40 ) to 10 ( 8 ～ 10 ).Serum tertosterone became nonnal in 62 cases ( T ＜ 2.8 ng/dl & 2.8 ＜ T＜4 ng/dl ),whoes frequency of morning erection and sexual activity increased.Conclusions The patients(40years or older)who suffer from primary varicocele with PADAM shoud better take operation.While the patients whoesserum testosterone were lower than those of healthy subjects or at the lower level of normal limit should take androgen replacelnent therapy. Key words: Varicocele; Estrogens