Relationship between the left spermatic vein diameter measured by ultrasound and palpated varicocele and Doppler ultrasound findings

Metin, Ahmet; Bulut, Okay; Temizkan, M.

doi:10.1007/bf02549730

Cited by 31 publications

(23 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2.5, 2.5-3.5 and 1 3.5 mm). Our results are similar to Hoekstra and Witt's [22] study but quite different from those of Metin et al [23] . However, if VD, RFV and palpability are evaluated together, our results also show some difference from those of Hoekstra and Witt [22] who found the prevalence of reflux to be 65% in cases with a VD between 2.5 and 3.5 mm, 54% of which were palpable, and stated that palpability and reflux were not correlated.…”

Section: Discussionsupporting

confidence: 77%

“…3 mm are nonpalpable, whereas all cases with a VD 1 3.5 mm are palpable. On the other hand, Metin et al [23] found palpable varicocele in all of the patients with a diameter 1 5 mm, in 50% of the patients with a diameter between 3 and 4 mm and in 16% of the patients with a diameter between 1 and 2 mm. In our study population, we found that the percentage of palpable varicocele increased as the VD increased (7.6, 78.6 and 98.3%, respectively, in VD !…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is There Any Additional Benefit of Venous Diameter and Retrograde Flow Volume as Measured by Ultrasonography to the Diagnosis of Suspected Low-Grade Varicoceles?

Bakırtaş

Çakan²,

Tuygun³

et al. 2009

Urol Int

View full text Add to dashboard Cite

Aims: To investigate the relation between the findings of physical examination and ultrasonography and to evaluate whether venous diameter (VD) and retrograde flow volume (RFV) have any additional benefit to the diagnosis of suspected low-grade varicoceles. Methods: Five hundred and fifty-two patients who applied to our outpatient clinic due to infertility were assessed by physical examination (PE) and B-mode and color Doppler ultrasonography (CDUS). The correlation of VD and RFV with clinical grade and with each other was investigated in cases diagnosed as unilateral left varicocele. Results: Unilateral left varicocele was detected in 184 (33.3%) of 552 patients: mean VD of the subjects was 3.17 ± 1.02 mm and mean RFV in 160 patients with a reflux was 24.01 ± 13.76 ml/min. There was a correlation of clinical grade both with VD and RFV (r = 0.669, p < 0.001 and r = 0.603, p < 0.001, respectively). Considering VD and RFV, there was a significant difference between grade (G)1–G2 and G2–G3 (p < 0.001, p < 0.001, respectively) except between subclinic-G1 varicocele groups (p = 0.626, p = 0.529, respectively). The best cut-off point predicting the palpable varicocele on physical examination was 3.1 mm (sensitivity 58.2%) for VD and 14.5 ml/min (sensitivity 83.8%) for RFV. Conclusions: Measurement of RFV is more sensitive than that of VD in predicting palpable varicocele. However, neither of them seem to have any additional benefit to PE in clarifying the diagnosis of suspected low-grade varicoceles.

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Is There Any Additional Benefit of Venous Diameter and Retrograde Flow Volume as Measured by Ultrasonography to the Diagnosis of Suspected Low-Grade Varicoceles?

Bakırtaş

Çakan²,

Tuygun³

et al. 2009

Urol Int

View full text Add to dashboard Cite

show abstract

“…Diameter measurements of patients with clinical varicocele yielded no extra information other than imaging and the numeric expression of the pathology. Venous diameters are found to be increased in clinical varicocele, and reflux can easily be shown by CDU most of the time [8,20].…”

Section: Discussionmentioning

confidence: 99%

Reliability of Venous Diameter in the Diagnosis of Subclinical Varicocele

Çaşkurlu

Taşçı²,

Resim³

et al. 2003

Urol Int

View full text Add to dashboard Cite

Objective: The diameters of the veins in the pampiniform plexus have been used to diagnose subclinical varicocele. But there are many cutoff points and some controversies about the diagnosis. These cause difficulty in the evaluation of the results of epidemiological and clinical studies. Our aim is to establish the reliability of vein diameters in the pampiniform plexus in the diagnosis of subclinical varicocele. Methods: Physical examination, scrotal gray scale ultrasonography (SU) and color Doppler ultrasonography (CDU) were performed to assess varicocele in 100 infertile patients without clinical varicocele (group I), 100 infertile patients with clinical left varicocele (group II), and 50 fertile men without clinical varicocele (group III) as a control group. The diameter of the veins in the pampiniform plexus was measured with SU. According to various cutoff points of venous diameter and CDU criteria, the diagnosis of varicocele was made. The highest mean venous diameters were calculated with and without varicocele in men whose diagnoses had been made with CDU. The results were correlated with each other and the control group. Results: According to venous diameter cutoff points, the varicocele ratio did not correlate with the CDU results (p < 0.05) except for the left side of patients with clinical left-sided varicocele. The highest mean diameters of the veins in group III (control group) did not show a significant difference to the other groups (p > 0.05) except for the left side of group II patients. We did not find an exact relation between the highest venous diameter in the men who have and those who do not have subclinical varicocele with CDU. The highest mean diameter was 2.17 ± 0.34 (SD) mm for men who have subclinical varicocele and 2.00 ± 0.31 mm for men who do not have subclinical varicocele by CDU (p < 0.05). Conclusion: Our results indicate that venous diameters should not be used as diagnostic criteria for subclinical varicocele. Only the evaluation of venous diameter in varicocele should be used to document and quantify pathology, but it should not be used to establish the diagnosis.

show abstract

“…Venous diameters are found to be increased in clinical varicocele, and reflux can easily be shown by CDU most of the time [14, 15]. In our sample, reflux was detected by CDU in all patients with clinical varicocele.…”

Section: Discussionmentioning

confidence: 65%

Color Doppler Ultrasonography and Spectral Analysis of Venous Flow in Diagnosis of Varicocele

Taşçı¹,

Resim

Çaşkurlu³

et al. 2001

European Urology

View full text Add to dashboard Cite

Relationship between the left spermatic vein diameter measured by ultrasound and palpated varicocele and Doppler ultrasound findings

Cited by 31 publications

References 13 publications

Is There Any Additional Benefit of Venous Diameter and Retrograde Flow Volume as Measured by Ultrasonography to the Diagnosis of Suspected Low-Grade Varicoceles?

Is There Any Additional Benefit of Venous Diameter and Retrograde Flow Volume as Measured by Ultrasonography to the Diagnosis of Suspected Low-Grade Varicoceles?

Reliability of Venous Diameter in the Diagnosis of Subclinical Varicocele

Color Doppler Ultrasonography and Spectral Analysis of Venous Flow in Diagnosis of Varicocele

Contact Info

Product

Resources

About