Contribution of pre-varicocelectomy color Doppler ultrasonography finding to surgery and its correlation with semen parameters.

Autor: Ediz C; Department of Urology, Sultan Abdulhamid Han Education and Research Hospital, Istanbul. drcanerediz@gmail.com., Temel MC; Department of Urology, Sultan Abdulhamid Han Education and Research Hospital, Istanbul. dr.cihantemel@gmail.com., Şahin Ediz S; Department of Radiology, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul. suna-sahin@hotmail.com., Akan S; Department of Urology, Sultan Abdulhamid Han Education and Research Hospital, Istanbul. drserkanakan@hotmail.com., Yenigürbüz S; Department of Urology, Sultan Abdulhamid Han Education and Research Hospital, Istanbul. serkanyenigurbuz@gmail.com., Pehlivanoğlu M; Department of Urology, Sultan Abdulhamid Han Education and Research Hospital, Istanbul. odrin22@yandex.com., Yılmaz Ö; Department of Urology, Sultan Abdulhamid Han Education and Research Hospital, Istanbul. dr.omeryilmaz@yahoo.com.
Jazyk: angličtina
Zdroj: Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica [Arch Ital Urol Androl] 2021 Jun 29; Vol. 93 (2), pp. 227-232. Date of Electronic Publication: 2021 Jun 29.
DOI: 10.4081/aiua.2021.2.227
Abstrakt: Background: This study aimed to determine the contribution of color Doppler ultrasonography (CDUS) performed before varicocelectomy to the success of surgical treatment and to evaluate the correlation between CDUS findings and semen parameters.
Methods: A total of 84 patients diagnosed with grade 3 left varicocele in our clinic between 2016 and 2018 were evaluated. The patients in whom the decision for varicocelectomy was based on only physical examination (PE) findings and abnormal semen analysis (SA) were defined as Group 1, while the patients undergoing varicocelectomy based on PE, CDUS and SA findings were defined as Group 2. The patients diagnosed with varicocele based on PE and CDUS findings who were included in a followup protocol due to normal semen parameters were defined as Group 3.
Results: In Group 1, there was a total of 28 patients and the mean number of ligated internal spermatic veins was 4.53 (range, 2-10). In Group 2, there was a total of 30 patients and the number of ligated internal spermatic veins was 3.76 (range, 1-8). No statistically significant difference was found between Group 1 and 2 in terms of the number of internal spermatic veins ligated during varicocelectomy. No statistically significant correlation was found between semen parameters and the number of veins ligated during varicocelectomy in Group 1 and 2 and between semen parameters and CDUS findings group 2 and 3.
Conclusions: In patients with primary grade 3 varicocele, diagnosed by physical examination there is no need for additional imaging in primary cases.
Databáze: MEDLINE
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