Effects of varicocelectomy on sleep quality: Varicocele may affect sleep quality

Purpose: The relationship between sleep quality and testosterone levels has been known. However, there are no data whether sleep quality and varicocelectomy have a relationship. Therefore, we aimed to investigate the effect of varicocelectomy on sleep quality and testosterone levels. Materials and Methods: A total of 39 patients with painful left grade 3 varicocele were included in the study. Visual analog scale, serum testosterone levels, Pittsburgh sleep quality index (PSQI) including subparameters of sleep were questioned and recorded preoperatively and postoperatively. Results: There was a significant difference between the preoperative and postoperative parameters of both PSQI and subparameters of sleep (P < 0.05). After the operation, 36 (92.3%) patients had remarkable pain relief. Testosterone levels of 32 (82%) patients increased. Conclusion: We concluded that a remarkable improvement in sleep quality was provided after varicocelectomy. Furthermore, evaluation of varicocele may be useful in male patients with unexplained sleep disorders.