Subinguinal versus peritesticular diameters of varicocele veins in the supine and standing posture

Abstract

Objective: Scrotal CDUS is a standard investigation for varicocele patients, but it is not clear that which region should be considered as a standard. The aim of study was to determine that which region should be taken as a standard of measurement for varicocele veins. Methods: The study was conducted at the andro-urology clinic of a teaching hospital. Scrotal Color Doppler Ultrasound (CDUS) parameters were determined at subinguinal and peritesticular region in 35 varicocele patients. The data was collected as mean ± SD and compared using paired t test. Results: In supine position, the mean diameters of varicocele vein at peritesticular region (3.31mm ± 0.70) was compared with the mean diameters of varicocele vein at subinguinal region (2.94mm ± 0.52) and were found to be significantly greater (p < 0.01). The mean diameters of varicocele vein at peritesticular region, when measured in standing posture (3.65mm ± 0.77) was significantly greater (p < 0.01) than the mean diameters at subinguinal region (3.29mm ± 0.62). All varicocele patients had associated semen abnormalities but the diameter of varicocele veins had no significant correlation with semen abnormalities. Conclusion: The varicocele vein diameter at peritesticular region was found to be significantly greater than the sub-inguinal varicocele vein diameter in both lying and standing position. The diameters at peritesticular region may be routinely measured to reach at a better clinical decision. Continuous...

Provocative measures in the sonographic evaluation of varicocele in obese patients and relation of different grades of varicocele with intra-testicular hemodynamics

“…In the peri testicular region in laying and standing position the mean vein diameters were 3.31mm and 3.65mm respectively. (26) In the current study all the participants were obese, because it is considered that obesity is one of the potential causes of varicocele. In a similar study to determine the interdependence of BMI and diameter of the spermatic vein, 114 patients were included.…”

Position- and posture-dependent vascular imaging—a scoping review

“…Interestingly, a left lateral position increased IVC diameters in a healthy population [17] and decreased diameters in elective cesarean section women [18]. Furthermore, the spermatic vein in patients with (suspected) varicocele increased in diameter in upright relative to supine position [19][20][21]. The common iliac vein diameter increased in R-TB [22] and upright position [23,24].…”

“…In the abdominal region, US was the most frequently reported imaging modality in different body postures and positions with 13 out of 19 articles [15][16][17][18][19][20][21][22][23][24][25][26][27]. Of these thirteen studies, the majority focused on the inferior vena cava (IVC) diameter that increased when going from supine to prone position by approximately 0.2 cm [15] and increased further with 0.2 cm from prone to standing position [27].…”