:- Comparative study on the efficacy of indigenous in recurrent primary varicocele and Non operated varicocele causing male infertility.

 Title:- Comparative study on the efficacy of indigenous in recurrent primary varicocele and Non operated varicocele causing male infertility. 

Dr. Satheesan Nambiar V. P. had submitted his dissertation in 1997 Year, for the P.G. degree Ph. D. Ayurveda. His guide was Dr. S.  I. Nagaral & research center was Tilak Ayurved Mahavidyalaya, Pune (M.S.) India, & submitted to University of Pune

Dr. Satheesan had done clinical study to assess the efficacy of sahacharadi oil orally  & basti  alone or in combination in the management of varicocele causing male infertility.  

Total 120 cases were taken for study. Sixty cases with past history of either varicocelectomy or high ligation of internal testicular veins were grouped into sun-groups viz AI, AII & AIII. Group AI received only sahacharadi oil. Group AII received Sahacharadi enema while Group AIII received combination of both procedures.

Another 60 Non operated cases of varicocele were also classified into 3 sub groups viz BI, BII, BIII receiving the respectively for a period of 30 days & follow up for six months were done. 

All groups were recorded & tabulated for the following parameters- 

1)    Assessment of clinical varicocele—arbitrary scale.

2)    Measurement of the varicocele in millimeters.

3)    Temperature of testis in degree Fahrenheit.

4)    Sperm count in millions per mili Liters.

5)    Sperm motility grades-IV, III, II & I in percentage.

6)    Morphological abnormalities & head, neck & Tail in percentage. 

The research work was concluded as follows-

1)    There was an intimate relationship between classical etiological factors & genesis of siragranthy / varicocele. The present day life pattern which included activities like driving, standing for long periods, working in night shifts etc participated this condition.

2)    Varicocele adversely affected the counter heat exchange mechanism causing evaluation of testicular temperature which in turn decreased spermatogenesis & sperm viability resulting in infertility.

3)    Outcome of surgical management was not satisfactory, but medical management after surgery yields better result.

4)    Sahacharadi oil orally & through enema (Basti) when used in combination gave better results than when used individually in the patients of Varicocele

5)    Sahacharadi oil orally administered group was better when compared to enema group.