A Prospective study of Preoperative sonographic and Doppler parameters as predictors of improvement in semen analysis parameters after varicocelectomy

Abstract

TITLE:-A Prospective study of Preoperative sonographic and Doppler parameters as predictors of improvement in semen analysis parameters after varicocelectomy OBJECTIVE:-To assess correlation between preoperative size of varicoceles, presence of reflux on sonogprahy and colour Doppler and improvement in semen analysis parameters after varicocelectomy. METHODS:-This is a prospective comparative study and was carried out between November 2021 to September 2022. During the study period, 40 consecutive patients (Patients with 16-40 years of age) presented to surgical outdoor with clinical presentation and eventual radiological diagnosis of varicocele were included. Preoperative and post operative samen anlysis was done and comparision done between semen parameters and usg color doppler findings. RESULTS: In this study, a total of 40 patients were evaluated. There was a signifificant positive correlation between the degree of reflux preoperatively and the improvement index i.e. P < 0.001 in group with reflux >2sec, also there was a positive correlation between the vein diameter and the improvement index i.e. P=/<0.001 in group with vein size >3mm. CONCLUSION: The best preoperative sonographic parameters of success of unilateral varicocele repair are the presence of normal-sized testes, high grade reflux, and large vein diameter.