Contrary to the previously mentioned recent studies and the present study, there was an earlier study carried out on 37 men who underwent microsurgical varicocelectomy, in which the authors reported a significant reduction in SDF, but the improvement in sperm concentration, motility and morphology after varicocele repair did not reach statistical significance [48] .
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The impact of coexisting sperm DNA fragmentation and seminal oxidative stress on the outcome of varicocelectomy in infertile patients: A prospective controlled study.
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Results The mean (SD) DFI% in the 60 infertile patients with varicocele was 29.9 (8.3) and 7.56 (2.84)% in the controls; ROS levels were 4.49 (0.9) in patients and 2.62 (0.8) photons/min in controls; and the TAC was 0.97 (0.4) in patients and 1.5 (0.5) mM in controls; with highly significant differences between the patients and controls.