322 IS VARICOCELE A COMPONENT OF PELVIC OR SYSTEMIC VENOUS DISEASE?

Abstract

You have accessJournal of UrologyPediatrics: Andrology-Cryptorchidism & Varicoceles1 Apr 2011322 IS VARICOCELE A COMPONENT OF PELVIC OR SYSTEMIC VENOUS DISEASE? Hakan Koyuncu, Anar Ismayilov, Vugar Hasanov, Nail Ersoz, Yusuf Kibar, Hasan Cem Irkilata, and Murat Dayanc Hakan KoyuncuHakan Koyuncu Ankara, Turkey More articles by this author , Anar IsmayilovAnar Ismayilov Ankara, Turkey More articles by this author , Vugar HasanovVugar Hasanov Ankara, Turkey More articles by this author , Nail ErsozNail Ersoz Ankara, Turkey More articles by this author , Yusuf KibarYusuf Kibar Ankara, Turkey More articles by this author , Hasan Cem IrkilataHasan Cem Irkilata Ankara, Turkey More articles by this author , and Murat DayancMurat Dayanc Ankara, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.405AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The aim of this study was to evaluate the possible relationship between varicocele and hemorrhoids and sapheno-femoral insuficiency, which are the clinicial signs of venous insufficiency, in patients diagnosed with primary varicocele. METHODS Between November-2009 and August-2010, a total of 60 patients with primary diagnosis of varicocele and 20 age-matched controls were included into the study. Varicocele was diagnosed by observation and palpation of each spermatic cord in standing position before and during a valsalva maneuver. All patients examine for hemorrhoids by general surgeon. At the lower extremity venous Doppler ultrasonography, a retrograde flow lasting longer than 0.5 seconds during normal breathing or at the valsalva maneuver was considered to be meaningful for sapheno-femoral junction insufficiency. RESULTS Thirtyeight(63.3%)patients had hemorrhoids in the study-group whereas 5(25.0%) had hemorrhoids in the control-group. The study-group had a statistical significant higher rate of hemorrhoids than control-group. Fortysix(76.6%) patients had insufficiency in sapheno-femoral junction in the study-group whereas 6(30.0%) had insufficiency in the control-group. The patients with primary varicocele had a statistical significant higher rate of venous insufficiency in their sapheno-femoral junctions than control-group. Although the patients who have grade III varicoceles tended to have saphenofemoral insufficiency and hemorrhoids,there was no statistical significance between the grade of varicocele and the presence of saphenofemoral insufficiency or hemorrhoids. CONCLUSIONS The rate of hemorrhoids and sapheno-femoral insufficiency has been found to be statistically higher in patients with primary varicocele compared to healthy men. Thus,we claim that varicocele formation may not always be a local disease. However,further studies in larger group of patients are certainly required to confirm the possible association between these pathological conditions. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e130-e131 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hakan Koyuncu Ankara, Turkey More articles by this author Anar Ismayilov Ankara, Turkey More articles by this author Vugar Hasanov Ankara, Turkey More articles by this author Nail Ersoz Ankara, Turkey More articles by this author Yusuf Kibar Ankara, Turkey More articles by this author Hasan Cem Irkilata Ankara, Turkey More articles by this author Murat Dayanc Ankara, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...