SCROTAL THERMOGRAPHY IN THE EVALUATION OF SURGICAL OUTCOME AFTER VARICOCELE REPAIR: A CASE REPORT.

Autor: Karlović K; Department of Urology, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia., Kuliš T; Department of Urology, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia., Lukić I; Division of Cardiology, Department of Internal Medicine, Osijek University Hospital Center, Osijek, Croatia., Kolarić D; Ruđer Bošković Institute, Center for Informatics and Computing, Zagreb, Croatia., Milas I; Department of Urology, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia., Miškić B; Department of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia., Antonini S; Department of Radiology, Zagreb-Centar Health Center, Zagreb, Croatia., Kaštelan Ž; Department of Urology, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia.
Jazyk: angličtina
Zdroj: Acta clinica Croatica [Acta Clin Croat] 2022 Aug; Vol. 61 (2), pp. 359-363.
DOI: 10.20471/acc.2022.61.02.24
Abstrakt: Scrotal thermography is a diagnostic method for varicocele. In short, there are five diagnostic thermographic criteria for varicocele, i.e., pattern of scrotal thermographic image indicative of varicocele, temperature at pampiniform plexus ≥34 C°, temperature difference between left and right pampiniform plexus ≥0.5 C°, enhancement of image during Valsalva maneuver, and temperature at pampiniform plexus ≥ temperature at ipsilateral thigh. Three or more positive signs are indicative of varicocele. The aim of this report is to present the use of digital thermography as a diagnostic method to evaluate the outcome of varicocele repair. We present a case of a student diagnosed with varicocele grade III, and assessed preoperatively and followed up postoperatively by scrotal thermography. According to thermographic indicators, our patient was positive for varicocele diagnosis before surgical treatment. Three months after varicocele repair, the patient did not show positive thermographic indicators of varicocele while physical examination and color Doppler ultrasound were equivocal. This case report suggests that infrared digital thermography of scrotum could be very valuable for monitoring patients in the period after surgery for varicocele, however, it should be confirmed in a larger number of patients.
Databáze: MEDLINE