Evidence map›Paper›PMID 41646646›Full record

ArticleFrontiers in surgery2025

What is the role of pre-operative sperm DNA fragmentation index in microsurgical varicocelectomy success?

Lihong Wang, Hui Jiang, Tao Jiang

Abstract read
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lihong WangDepartment of Urology, Xuancheng People's Hospital, Xuancheng, China.
Hui JiangDepartment of Andrology, Peking University First Hospital, Beijing, China.
Tao JiangDepartment of Andrology and Sexual Medicine, The Second Hospital of Dalian Medical University, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This prospective study aimed to examine the effect of pre-operative sperm DFI on varicocelectomy success. Material and methods: A total of 51 infertile men with unilateral clinical VC who met the inclusion criteria and underwent microsurgical varicocelectomy were enrolled. As described in previous studies, in our study, more than 50% increase in total motile sperm count (TMSC) in post-operative semen analysis was defined as a significant improvement. However, at least a 100% increase was required for patients with a TMSC <5 million in the definition of recovery. The patients were separated as two groups as benefiting from the treatment and not. Results: Among the 31 patients who completed the 3-month follow-up, significant improvements were observed in sperm concentration, total sperm count, TMSC, abnormal sperm morphology, and DFI ( Conclusions: Our study showed that high sperm DFI (≥28.71%) may be a useful pre-operative predictive tool in identifying men who benefit most from varicocelectomy in infertile patients with VC.

Indexed as

male infertilitymicrosurgical varicocelectomyspermsperm DNA fragmentation indexvaricocele

Identifiers

PMID41646646
PMCPMC12868975

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.