id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
bam-13791	Farsani, Reza Mohammadi; Azarabadi, Mahdi; Javanbakht, Mohammad; Jaberi, Mahdiyar; Asadi, Mosa	Comparison of DNA fragmentation index and fertility rate after unilateral and bilateral microsurgical varicocelectomy	2025	7	.pdf	application/pdf	4597	238	40	The pregnancy rates after surgery were 36.0% for the unilateral and 58.0% for the bilateral group; this difference was statistically significant, favoring bilateral microsurgical varicocelectomy (p=0.04). Whereas the initial interest was mainly focused on improvement in natural conception rates following the surgery, growing evidence highlights the benefits of var- icocelectomy on semen quality, including DNA quality, sperm DNA fragmentation, and overall sperm parame- ters.13-16 While guidelines currently recommend the treatment of varicoceles in selected cases of infertility, the effects of varicocelectomy on DFI are less clear due to limited re- search.	cache/bam-13791.pdf	txt/bam-13791.txt
